Provider Demographics
NPI:1124204458
Name:VALHUERDI, LAURA MOCH (DC)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:MOCH
Last Name:VALHUERDI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:LAURIE
Other - Middle Name:LYNNE
Other - Last Name:MOCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:210 N BROUGHTON SQ
Mailing Address - Street 2:BUILDING 7
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-2547
Mailing Address - Country:US
Mailing Address - Phone:561-374-2451
Mailing Address - Fax:
Practice Address - Street 1:3379 W WOOLBRIGHT RD
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436-7245
Practice Address - Country:US
Practice Address - Phone:561-374-2451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-16
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008243111N00000X
FLCH9508111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor