Provider Demographics
NPI:1376638825
Name:WALKER, LAURA LOUISE (MD)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:LOUISE
Last Name:WALKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3975 ROBINSON RD
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:NC
Mailing Address - Zip Code:28658-9715
Mailing Address - Country:US
Mailing Address - Phone:828-466-0466
Mailing Address - Fax:828-466-8862
Practice Address - Street 1:3975 ROBINSON RD
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:NC
Practice Address - Zip Code:28658-9715
Practice Address - Country:US
Practice Address - Phone:828-466-0466
Practice Address - Fax:828-466-8862
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2017-01999207Q00000X, 207Q00000X
ND7879208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND1459950Medicaid
ND1459950Medicaid
G76625Medicare UPIN
4997187OtherSD WELLMARK
16052OtherND BLUE CROSS/BLUE SHIELD
ND123993OtherWORKERS COMP
IA0553693Medicaid
25424OtherSIOUX VALLEY
WA3018140Medicaid
ND10790Medicaid
G76625Medicare UPIN
NE4503468812Medicaid