LAURA JACIMORE, PA; NPI #1306020912

Contact Information

LAURA JACIMORE, PA

2450 CURTIS ELLIS DR
ROCKY MOUNT, NC 27804-2237

Phone: 252-443-8947
Fax: 252-451-3090
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Radiation Oncology	2085R0001X	92	Physician/Radiation Oncology

Indicates primary specialty

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NPI Profile & details for LAURA JACIMORE, PA

NPI # 1306020912

LBN Legal business name LAURA JACIMORE, PA

Authorized official LAURA JACIMORE - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/19/2007

Last updated 08/16/2021 - About 5 years ago

Identifiers

Medicaid

891358H

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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