Laura O'donnell
Pediatrician Adolescent Medicine
656 Carpenter Ave
Mooresville
, North Carolina 28115-2538
Laura O'donnell
Pediatrician Adolescent Medicine
656 Carpenter Ave
Mooresville
, North Carolina 28115-2538
(844) 266-8268
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About
Features
Specialties
- Pediatrician
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Laura O'donnell
- Po Box 60447
- Charlotte, NC
- Zip : 28260-0447
- Phone : (844) 266-8268
Second Address
- Laura O'donnell
- 656 Carpenter Ave
- Mooresville, NC
- Zip : 28115-2538
- Phone : (704) 664-5133
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 200301394 | NC |
| N | 2080A0000X | Adolescent Medicine | 200301394 | NC |
National Provider Identifier
| NPI | 1215912803 |
|---|---|
| Provider Name | Laura O'donnell |
| First Address | Charlotte, NC 28260-0447 |
| Second Address | Mooresville, NC 28115-2538 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/12/2005 |
| Last Update Date | 25/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 89137VH | (05) | NC |
| I21619 | (02) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.