Provider Demographics
NPI:1518343755
Name:ALISON, LAURA FRENCH (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:FRENCH
Last Name:ALISON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1338 E SUNSET DR STE C
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28112-4362
Mailing Address - Country:US
Mailing Address - Phone:704-296-0909
Mailing Address - Fax:
Practice Address - Street 1:1338 E SUNSET DR STE C
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28112-4362
Practice Address - Country:US
Practice Address - Phone:704-296-0909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-10
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-05885363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant