Most Relevant Information
Provider Data
| NPI Number: | 1003301599 |
| Provider Name: | JOSEPH MATTHEW LAUKAITIS |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/27/2018 |
| Last Updated: | 06/27/2018 |
Provider Practice Location
1851 MACGREGOR DOWNS RD
GREENVILLE
NC
278345925
Practice Location Phone/Fax
| Phone: | 8287650110 |
| Fax: | 8287650123 |
Provider Mailing Location
1851 MACGREGOR DOWNS RD
GREENVILLE
NC
278345925
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |