Provider Demographics
NPI:1295773125
Name:BUNCH, LAURA CHRISTOPHER (MD)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:CHRISTOPHER
Last Name:BUNCH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 742360
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-2103
Mailing Address - Country:US
Mailing Address - Phone:205-940-4690
Mailing Address - Fax:205-777-4888
Practice Address - Street 1:4500 MONTEVALLO RD
Practice Address - Street 2:SUITE E101
Practice Address - City:IRONDALE
Practice Address - State:AL
Practice Address - Zip Code:35210-3129
Practice Address - Country:US
Practice Address - Phone:205-490-4690
Practice Address - Fax:205-777-4888
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2013-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL22389207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51131239OtherBCBSAL
AL51131239OtherBCBSAL
ALI38447Medicare UPIN