Provider Demographics
NPI:1326387390
Name:STIMMING, LAEL (LM)
Entity Type:Individual
Prefix:
First Name:LAEL
Middle Name:
Last Name:STIMMING
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5607 SOBRANTE AVE
Mailing Address - Street 2:
Mailing Address - City:EL SOBRANTE
Mailing Address - State:CA
Mailing Address - Zip Code:94803-1534
Mailing Address - Country:US
Mailing Address - Phone:510-323-5583
Mailing Address - Fax:
Practice Address - Street 1:5607 SOBRANTE AVE
Practice Address - Street 2:
Practice Address - City:EL SOBRANTE
Practice Address - State:CA
Practice Address - Zip Code:94803-1534
Practice Address - Country:US
Practice Address - Phone:510-323-5583
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-11
Last Update Date:2013-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALM332176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife