Provider Demographics
NPI:1427240902
Name:KWAN, LAURINDA (ND)
Entity type:Individual
Prefix:
First Name:LAURINDA
Middle Name:
Last Name:KWAN
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5112 N 40TH ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-2142
Mailing Address - Country:US
Mailing Address - Phone:480-360-1595
Mailing Address - Fax:480-787-2495
Practice Address - Street 1:5112 N 40TH ST
Practice Address - Street 2:SUITE 203
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-2142
Practice Address - Country:US
Practice Address - Phone:480-360-1595
Practice Address - Fax:480-787-2495
Is Sole Proprietor?:No
Enumeration Date:2007-08-17
Last Update Date:2015-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ07-995175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath