Provider Demographics
NPI:1376671230
Name:LAUGHLIN, BARBARA L (DIPLOM, LAC)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:L
Last Name:LAUGHLIN
Suffix:
Gender:F
Credentials:DIPLOM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 506
Mailing Address - Street 2:
Mailing Address - City:DOLAN SPRINGS
Mailing Address - State:AZ
Mailing Address - Zip Code:86441
Mailing Address - Country:US
Mailing Address - Phone:928-716-0417
Mailing Address - Fax:928-767-3004
Practice Address - Street 1:16055 N PIERCE FERRY RD
Practice Address - Street 2:UNIT B
Practice Address - City:DOLAN SPRINGS
Practice Address - State:AZ
Practice Address - Zip Code:86441
Practice Address - Country:US
Practice Address - Phone:928-716-0417
Practice Address - Fax:307-675-4400
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT218171100000X
AZLAC-001103171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty