Provider Demographics
NPI:1356490296
Name:MEHLER, LAUREL J (MD)
Entity Type:Individual
Prefix:DR
First Name:LAUREL
Middle Name:J
Last Name:MEHLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5333 HOLLISTER AVE STE 220
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93111-3335
Mailing Address - Country:US
Mailing Address - Phone:805-681-2550
Mailing Address - Fax:805-681-2553
Practice Address - Street 1:5333 HOLLISTER AVE STE 220
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93111-3335
Practice Address - Country:US
Practice Address - Phone:805-681-2550
Practice Address - Fax:805-681-2553
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG71753208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics