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NPI Code Detail

MEDICARE: LAURA BREWER RIEDEL CPO

MEDICARE: LAURA BREWER RIEDEL CPO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649391434
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA BREWER RIEDEL CPO
Provider Business Mailing Address
First Line : 314 CRUTCHFIELD ST
Second Line :
City : DURHAM
State : NC
Zip : 27704-2725
Country : US
Telephone Number : 919-471-4994
Fax Number : 919-471-4995
Provider Business Practice Location Address
First Line : 314 CRUTCHFIELD ST
Second Line :
City : DURHAM
State : NC
Zip : 27704-2725
Country : US
Telephone Number : 919-471-4994
Fax Number : 919-471-4995
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2007
Last Update Date : 04/29/2010

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Directions to “ LAURA BREWER RIEDEL CPO” Practice Location

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