MEDICARE: DR. LAURA LEE GROSS DC

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
1	111N00000X	Chiropractor	NC2083	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0846R	OTHER	NC	NC STATE HEALTH PLAN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	0846R	OTHER	NC	BLUE CROSS OF NC

General Provider Information

NPI Number	:	1205860343
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAURA LEE GROSS DC

Provider Business Mailing Address
First Line	:	4170 HAYWOOD RD
Second Line	:
City	:	MILLS RIVER
State	:	NC
Zip	:	28759-9740
Country	:	US
Telephone Number	:	828-891-8868
Fax Number	:	828-891-8897

Provider Business Practice Location Address
First Line	:	4170 HAYWOOD RD
Second Line	:
City	:	MILLS RIVER
State	:	NC
Zip	:	28759-9740
Country	:	US
Telephone Number	:	828-891-8868
Fax Number	:	828-891-8897

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	03/20/2025

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Directions to “ DR. LAURA LEE GROSS DC” Practice Location

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