Healthcare Provider Details

I. General information

NPI: 1811166606
Provider Name (Legal Business Name): JOCELYNE MARIE LAUZON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2008
Last Update Date: 02/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1807 E INNES ST
SALISBURY NC
28146-6030
US

IV. Provider business mailing address

1305 S CANNON BLVD
KANNAPOLIS NC
28083-6232
US

V. Phone/Fax

Practice location:
  • Phone: 704-633-3616
  • Fax:
Mailing address:
  • Phone: 704-939-1100
  • Fax:

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: