Provider Demographics
NPI:1063546455
Name:PARIS, LAURA MARIE (LAC)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:MARIE
Last Name:PARIS
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 DAVIS LN
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-3116
Mailing Address - Country:US
Mailing Address - Phone:831-655-9611
Mailing Address - Fax:831-886-1629
Practice Address - Street 1:150 DAVIS LN
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-3116
Practice Address - Country:US
Practice Address - Phone:831-655-9611
Practice Address - Fax:831-886-1629
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2014-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA9874171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist