LAURA ICENHOUR BUCHANAN

CHARLOTTE, NC
NPI1780035816
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-06582)
Enumeration Date2016-06-30
Last Update Date2023-12-18
Business Address
LAURA ICENHOUR BUCHANAN PA
1001 BLYTHE BLVD
CHARLOTTE, NC 28203-5866
Phone number: 704-381-9900
Mailing Address
LAURA ICENHOUR BUCHANAN PA
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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