Provider Demographics
NPI:1316223522
Name:VARGA, LAURA D (DAOM)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:D
Last Name:VARGA
Suffix:
Gender:F
Credentials:DAOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1114 ENVIRON WAY
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-4418
Mailing Address - Country:US
Mailing Address - Phone:919-518-4788
Mailing Address - Fax:
Practice Address - Street 1:1114 ENVIRON WAY
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-4418
Practice Address - Country:US
Practice Address - Phone:919-518-4788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC715171100000X
ORAC153679171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist