Provider Demographics
NPI:1952641938
Name:LAUGHLIN, ANNE
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:LAUGHLIN
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 1:1309 MEDICAL DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-4422
Mailing Address - Country:US
Mailing Address - Phone:910-437-5130
Mailing Address - Fax:910-438-5128
Practice Address - Street 1:1309 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-4422
Practice Address - Country:US
Practice Address - Phone:910-437-5130
Practice Address - Fax:910-437-5128
Is Sole Proprietor?:No
Enumeration Date:2013-02-27
Last Update Date:2013-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical