Provider Demographics
NPI:1205852555
Name:HARLAMOFF, LAUREL J (PA-C)
Entity Type:Individual
Prefix:MS
First Name:LAUREL
Middle Name:J
Last Name:HARLAMOFF
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:195 AVIATION WAY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WATSONVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95076-2053
Mailing Address - Country:US
Mailing Address - Phone:831-728-8250
Mailing Address - Fax:831-707-2777
Practice Address - Street 1:45 NEILSON ST
Practice Address - Street 2:
Practice Address - City:WATSONVILLE
Practice Address - State:CA
Practice Address - Zip Code:95076-2468
Practice Address - Country:US
Practice Address - Phone:831-728-0222
Practice Address - Fax:831-707-2777
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2015-12-01
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Provider Licenses
StateLicense IDTaxonomies
CA16737363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant