Healthcare Provider Details

I. General information

NPI: 1942523402
Provider Name (Legal Business Name): LAURA SCHRAMM KUZMA M.S.W
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/11/2010
Last Update Date: 03/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 CHINQUAPIN RD. SUITE 3B
PINEHURST NC
28374
US

IV. Provider business mailing address

15 DOVE RUN
PINEHURST NC
28374-9657
US

V. Phone/Fax

Practice location:
  • Phone: 910-315-1368
  • Fax:
Mailing address:
  • Phone: 910-215-9493
  • Fax: 910-215-9493

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: