Look up the most recent NPI and PECOS records

Laura Allen

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

11562 Costigan Ln, Charlotte, NC 28277-3375

PECOS Enrollment

Based on the most recent information from CMS, provider Laura Allen is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1306539291
Provider Type
Individual
Full Name
Allen, Laura
Gender
Female

Sole Proprietor
No
Enumeration Date
5/29/2023
Last Updated
5/29/2023

Contact Information

Practice Location

11562 Costigan Ln, Charlotte, NC 28277-3375

(704) 649-4675

Unlisted Fax

Mailing Location

11562 Costigan Ln, Charlotte, NC 28277-3375

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer

Laura Allen

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Griffin, Noelle A

O'Neil, Megan Elizabeth

Berka, Kristin Marie

Salvato, Leah Daniel

Stone, Rachel Allyson

Pounds, Parker Elizabeth

Kinzel, Alexandria Nicole

Lanier, Micha

Bagley, Sarah Kathryn

Moorhouse, Ryan Louis