Provider Demographics
NPI:1396228193
Name:MARION, LAURA (LAC, DIPL OM, MS)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:MARION
Suffix:
Gender:F
Credentials:LAC, DIPL OM, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 CRICKET CROSSING CT
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-8822
Mailing Address - Country:US
Mailing Address - Phone:828-275-7590
Mailing Address - Fax:
Practice Address - Street 1:91 MOUNT CARMEL RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-9763
Practice Address - Country:US
Practice Address - Phone:828-275-7590
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-08
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC846171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist