Provider Demographics
NPI:1750010906
Name:WALDO, LAURA (BCHN)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:WALDO
Suffix:
Gender:F
Credentials:BCHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:326 HAWTHORNE VIEW CT
Mailing Address - Street 2:
Mailing Address - City:FUQUAY VARINA
Mailing Address - State:NC
Mailing Address - Zip Code:27526-2823
Mailing Address - Country:US
Mailing Address - Phone:919-285-2527
Mailing Address - Fax:
Practice Address - Street 1:326 HAWTHORNE VIEW CT
Practice Address - Street 2:
Practice Address - City:FUQUAY VARINA
Practice Address - State:NC
Practice Address - Zip Code:27526-2823
Practice Address - Country:US
Practice Address - Phone:919-285-2527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-05
Last Update Date:2022-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator