Provider Demographics
NPI:1225042732
Name:HOBSON-SHOEMAKER, LAURA LYNN (DC-APC)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:LYNN
Last Name:HOBSON-SHOEMAKER
Suffix:
Gender:F
Credentials:DC-APC
Other - Prefix:DR
Other - First Name:LAURA
Other - Middle Name:LYNN
Other - Last Name:HOBSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2730 SAN PEDRO DR NE
Mailing Address - Street 2:SUITE B-1
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-3334
Mailing Address - Country:US
Mailing Address - Phone:505-271-8888
Mailing Address - Fax:505-881-2129
Practice Address - Street 1:2730 SAN PEDRO DR NE
Practice Address - Street 2:SUITE B-1
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-3334
Practice Address - Country:US
Practice Address - Phone:505-271-8888
Practice Address - Fax:505-881-2129
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1530111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM344501401Medicare PIN
NMU88605Medicare UPIN