Provider Demographics
NPI:1700842291
Name:LARABEE, LAWRENCE NORMAN JR (MD)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:NORMAN
Last Name:LARABEE
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 BEECHWOOD RD
Mailing Address - Street 2:
Mailing Address - City:AHOSKIE
Mailing Address - State:NC
Mailing Address - Zip Code:27910-8234
Mailing Address - Country:US
Mailing Address - Phone:252-332-6383
Mailing Address - Fax:
Practice Address - Street 1:602 ACADEMY ST S
Practice Address - Street 2:
Practice Address - City:AHOSKIE
Practice Address - State:NC
Practice Address - Zip Code:27910-3239
Practice Address - Country:US
Practice Address - Phone:252-332-3699
Practice Address - Fax:252-332-4335
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9800306207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8911345Medicaid
VA217406OtherANTHEM BLUE CROSS
NC0953792OtherUNITED HEALTHCARE
NC11345OtherBLUE CROSS OF NC
NC80049OtherMEDCOST
NC80049OtherMEDCOST
NC2252214AMedicare ID - Type Unspecified