Laura Heidelberg, MD
Surgery in Huntersville, NC. Individual provider (NPI-1).
NPI number1487074944
StatusActive
Last updated in NPPESOct 26, 2020
Details
- NPI
- 1487074944
- Entity type
- Individual (NPI-1)
- Name
- Laura Heidelberg
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 23, 2014
- Certification date
- Sep 24, 2020
- Last updated
- Oct 26, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 2020-02872 | NC | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | MD.MD.60940803 | WA | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
14330 Oakhill Park Ln Ste 140Huntersville, NC 28078-3480
Phone 704-316-3492
Mailing address
Po Box 60447Charlotte, NC 28260-0447
Other practice locations
625 19th St S
Birmingham, AL 35249
Birmingham, AL 35249
Phone 205-934-9600
1101 Madison St Ste 500
Seattle, WA 98104-3557
Seattle, WA 98104-3557
Phone 206-215-4235 · Fax 206-860-6540
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