Provider Demographics
NPI:1386978518
Name:FLAUGHER, LAURILEE (RN, MED, CCM)
Entity type:Individual
Prefix:
First Name:LAURILEE
Middle Name:
Last Name:FLAUGHER
Suffix:
Gender:F
Credentials:RN, MED, CCM
Other - Prefix:
Other - First Name:LAURILEE
Other - Middle Name:
Other - Last Name:THOMPSON, WILLIAMS, PISCIONERI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:28201 MARGUERITE PKWY STE 13
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92692-3719
Mailing Address - Country:US
Mailing Address - Phone:949-364-3928
Mailing Address - Fax:949-364-2297
Practice Address - Street 1:28201 MARGUERITE PKWY STE 13
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92692-3719
Practice Address - Country:US
Practice Address - Phone:949-364-3928
Practice Address - Fax:949-364-2297
Is Sole Proprietor?:No
Enumeration Date:2009-09-21
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA430427163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA33-0150193OtherMEDI-CAL