Provider Demographics
NPI:1093259012
Name:ROMO, LAURA (MPH)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:ROMO
Suffix:
Gender:F
Credentials:MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2460 22ND ST
Mailing Address - Street 2:WARD 94, BUILDING 90, 4TH FLOOR
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-2815
Mailing Address - Country:US
Mailing Address - Phone:415-206-2276
Mailing Address - Fax:
Practice Address - Street 1:2460 22ND ST
Practice Address - Street 2:WARD 94, BUILDING 90, 4TH FLOOR
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-2815
Practice Address - Country:US
Practice Address - Phone:415-206-2276
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-09
Last Update Date:2016-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744R1102XOther Service ProvidersSpecialistResearch Study