Provider Demographics
NPI:1720819501
Name:SCHLIESKE, LAURA MARIE (LAC)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:MARIE
Last Name:SCHLIESKE
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 1:2660 PUESTA DEL SOL APT B
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-2953
Mailing Address - Country:US
Mailing Address - Phone:805-570-3291
Mailing Address - Fax:
Practice Address - Street 1:1900 STATE ST STE C
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-8421
Practice Address - Country:US
Practice Address - Phone:805-364-2537
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11646171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist