Laura Steffen Tanner
Dermatologist
1124 Gallery Park Boulevard #200
Wilmington
, North Carolina 28412
Laura Steffen Tanner
Dermatologist
1124 Gallery Park Boulevard #200
Wilmington
, North Carolina 28412
(910) 815-3479
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Laura Steffen Tanner
- 2421 Silver Stream Lane
- Wilmington, NC
- Zip : 28401-0000
- Fax : (910) 815-3479
- Phone : (910) 395-3477
Second Address
- Laura Steffen Tanner
- 1124 Gallery Park Boulevard #200
- Wilmington, NC
- Zip : 28412
- Fax : (910) 815-3479
- Phone : (910) 395-3477
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 34176 | NC |
National Provider Identifier
| NPI | 1053400499 |
|---|---|
| Provider Name | Laura Steffen Tanner |
| First Address | Wilmington, NC 28401-0000 |
| Second Address | Wilmington, NC 28412 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/10/2006 |
| Last Update Date | 22/01/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 070008802 | RAILROAD MEDICARE (01) | NC |
| 8149B | BCBS NC (01) | NC |
| 898149B | (05) | NC |
| E95459 | (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.