Provider Demographics
NPI:1851108633
Name:HESTER, LAURA ROXANNE
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:ROXANNE
Last Name:HESTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 984
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557-0984
Mailing Address - Country:US
Mailing Address - Phone:252-342-2063
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 984
Practice Address - Street 2:
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-0984
Practice Address - Country:US
Practice Address - Phone:252-342-2063
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-16
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program