Provider Demographics
NPI:1043649536
Name:WESTBROOK, LAURA E (MS)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:E
Last Name:WESTBROOK
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:E
Other - Last Name:RAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:4860 Y ST
Mailing Address - Street 2:ELLISON AMBULATORY CARE, BREAST HEALTH CTR LL SUITE 540
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-2307
Mailing Address - Country:US
Mailing Address - Phone:916-295-5841
Mailing Address - Fax:916-295-5769
Practice Address - Street 1:2279 45TH ST.
Practice Address - Street 2:U.C. DAVIS CANCER CENTER
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817
Practice Address - Country:US
Practice Address - Phone:916-295-5841
Practice Address - Fax:916-295-5769
Is Sole Proprietor?:No
Enumeration Date:2013-11-05
Last Update Date:2014-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAGC000243170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS