Healthcare Provider Details

I. General information

NPI: 1346700168
Provider Name (Legal Business Name): LAURA ELIZABETH HUTCHINS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2019
Last Update Date: 03/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 CANAL ST
NEW ORLEANS LA
70112-3018
US

IV. Provider business mailing address

433 S SUNSET DR
WINSTON SALEM NC
27103-2839
US

V. Phone/Fax

Practice location:
  • Phone: 828-231-9419
  • Fax:
Mailing address:
  • Phone: 828-231-9419
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: