Provider Demographics
NPI:1699247593
Name:ZARANSKI, LAURA
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:ZARANSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 E OAK HILL RD
Mailing Address - Street 2:
Mailing Address - City:CHESTERTON
Mailing Address - State:IN
Mailing Address - Zip Code:46304-1363
Mailing Address - Country:US
Mailing Address - Phone:219-395-9928
Mailing Address - Fax:
Practice Address - Street 1:210 N CALUMET RD
Practice Address - Street 2:
Practice Address - City:CHESTERTON
Practice Address - State:IN
Practice Address - Zip Code:46304-2428
Practice Address - Country:US
Practice Address - Phone:219-395-9928
Practice Address - Fax:219-395-1960
Is Sole Proprietor?:No
Enumeration Date:2018-12-18
Last Update Date:2018-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN84000044A171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist