Provider Demographics
NPI:1437494739
Name:LAURA K JOZEWICZ MD PA
Entity type:Organization
Organization Name:LAURA K JOZEWICZ MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:KOLARZ-JOZEWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-845-2580
Mailing Address - Street 1:701 EXPOSITION PL
Mailing Address - Street 2:SUITE 106
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-3300
Mailing Address - Country:US
Mailing Address - Phone:919-845-2580
Mailing Address - Fax:919-845-2581
Practice Address - Street 1:701 EXPOSITION PL
Practice Address - Street 2:SUITE 106
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-3300
Practice Address - Country:US
Practice Address - Phone:919-845-2580
Practice Address - Fax:919-845-2581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-28
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC347972084N0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical NeurophysiologyGroup - Single Specialty