Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Laura Icenhour Buchanan, PA

Individual provider Physician Assistant · NPI 1780035816

Laura Icenhour Buchanan, PA is a Physician Assistant in Charlotte, North Carolina. Works from 3 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2016
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1001 Blythe Blvd
Charlotte, NC 28203-5866
Phone: (704) 381-9900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1001 Blythe Blvd, Charlotte, NC 28203-5866 — (704) 381-9900
  • 10620 Park Rd, Charlotte, NC 28210-8472 — (704) 667-0920

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-06582 (NC)

Record details

NPI number1780035816
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 30, 2016
Last updated in NPPESJuly 15, 2024
Certification dateDecember 4, 2020

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