Provider Demographics
NPI:1275099814
Name:DEBUSK, LAURA NICOLE (DC)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:NICOLE
Last Name:DEBUSK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:802 FAIRVIEW RD STE 950
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-1171
Mailing Address - Country:US
Mailing Address - Phone:828-280-5578
Mailing Address - Fax:
Practice Address - Street 1:802 FAIRVIEW RD STE 950
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-1171
Practice Address - Country:US
Practice Address - Phone:828-280-5578
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-19
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5251111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor