Provider Demographics
NPI:1356115083
Name:SALSER, LAURA
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:SALSER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 OLD FRANKLIN TPKE
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:VA
Mailing Address - Zip Code:24151-5504
Mailing Address - Country:US
Mailing Address - Phone:540-484-1400
Mailing Address - Fax:540-484-1030
Practice Address - Street 1:550 OLD FRANKLIN TPKE
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:VA
Practice Address - Zip Code:24151-5504
Practice Address - Country:US
Practice Address - Phone:540-484-1400
Practice Address - Fax:540-484-1030
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1101004042156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician