Healthcare Provider Details

I. General information

NPI: 1073045332
Provider Name (Legal Business Name): LAURA BETH TRAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAURA BETH MCCOY

II. Dates (important events)

Enumeration Date: 03/28/2017
Last Update Date: 08/12/2020
Certification Date: 08/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

336 DEERFIELD RD
BOONE NC
28607-5008
US

IV. Provider business mailing address

480 DEERFIELD FOREST PKWY
BOONE NC
28607-8433
US

V. Phone/Fax

Practice location:
  • Phone: 828-262-4100
  • Fax:
Mailing address:
  • Phone: 336-707-8674
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number2020-00276
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: