Provider Demographics
NPI:1407822539
Name:LARRABEE, LAURA (MD)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:LARRABEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 LAKE CONCORD RD NE
Mailing Address - Street 2:CABARRUS PEDIATRIC CLINIC
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-3057
Mailing Address - Country:US
Mailing Address - Phone:704-786-1144
Mailing Address - Fax:704-788-1916
Practice Address - Street 1:66 LAKE CONCORD RD NE
Practice Address - Street 2:CABARRUS PEDIATRIC CLINIC
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-3057
Practice Address - Country:US
Practice Address - Phone:704-786-1144
Practice Address - Fax:704-788-1916
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC31319208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC847471OtherMAMSI
NC4253902OtherAETNA
NC26811OtherMEDCOST
NC9204OtherPARTNERS MEDICARE CHOICE
NC7951044Medicaid
NC51044OtherBCBS
NC16985OtherWELLPATH
NCF42946Medicare UPIN