Provider Demographics
NPI:1376245613
Name:MAGEE, LAURA BETH (DC)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:BETH
Last Name:MAGEE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:806 EASTWOOD DR APT B
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86303-5457
Mailing Address - Country:US
Mailing Address - Phone:608-931-0436
Mailing Address - Fax:
Practice Address - Street 1:3220 LAKESIDE VLG
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86301-7647
Practice Address - Country:US
Practice Address - Phone:928-277-4992
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ9262111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor