Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 38645 | NC |
N | 207ND0101X | MOHS-Micrographic Surgeon | 38645 | NC |
N | 207NS0135X | Procedural Dermatology | 38645 | NC |
NPI | 1043202302 |
---|---|
Provider Name | Dr. Valerie B Laing |
First Address | Manitowoc, WI 54220-4630 |
Second Address | Knightdale, NC 27545-6563 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2005 |
Last Update Date | 22/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E35867 | (02) | NC |