Provider Demographics
NPI:1629157060
Name:LEMAUVIEL, LAURIE (DO)
Entity Type:Individual
Prefix:DR
First Name:LAURIE
Middle Name:
Last Name:LEMAUVIEL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 VANDERBILT PARK DR
Mailing Address - Street 2:STE 100
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-1700
Mailing Address - Country:US
Mailing Address - Phone:828-258-0397
Mailing Address - Fax:828-258-3390
Practice Address - Street 1:4 VANDERBILT PARK DR
Practice Address - Street 2:STE 100
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-1700
Practice Address - Country:US
Practice Address - Phone:828-258-0397
Practice Address - Fax:828-258-3390
Is Sole Proprietor?:No
Enumeration Date:2006-11-05
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0099-00088207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC159881OtherABIM BOARD CERTIFICATION
NC12354OtherBCBS
NC34D1012841OtherCLIA ID
NC34D1012841OtherCLIA ID
NCF-95279Medicare UPIN
NC34D1012841OtherCLIA ID
NC24011156Medicare ID - Type Unspecified