Basic Information
Provider Information
NPI: 1235454240
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DOSIER
FirstName: LAURA
MiddleName: BETH MANN
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2920 HIGHWOODS BLVD
Address2:  
City: RALEIGH
State: NC
PostalCode: 276040010
CountryCode: US
TelephoneNumber: 8774984490
FaxNumber:  
Practice Location
Address1: 104 MEDSPRING DR
Address2:  
City: CLAYTON
State: NC
PostalCode: 275209687
CountryCode: US
TelephoneNumber: 9192356535
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/01/2010
LastUpdateDate: 02/22/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/22/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000XP6215TXN Allopathic & Osteopathic PhysiciansPediatrics 
208000000X2014-00857NCN Allopathic & Osteopathic PhysiciansPediatrics 
2080S0012X2014-00857NCN Allopathic & Osteopathic PhysiciansPediatricsSleep Medicine
2080P0214X2014-00857NCY Allopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology

No ID Information.


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