Provider Demographics
NPI:1700968674
Name:LABORE, FRANCIS WALTER (PA-C)
Entity Type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:WALTER
Last Name:LABORE
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 EVANS ST
Mailing Address - Street 2:APT. D
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-3198
Mailing Address - Country:US
Mailing Address - Phone:828-437-8627
Mailing Address - Fax:
Practice Address - Street 1:5155 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-9696
Practice Address - Country:US
Practice Address - Phone:828-438-6037
Practice Address - Fax:828-439-2312
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical