Provider Demographics
NPI:1407547110
Name:SAVOIE, LAURA MICHELLE
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:MICHELLE
Last Name:SAVOIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:526 E BIDWELL ST
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-3119
Mailing Address - Country:US
Mailing Address - Phone:916-984-7749
Mailing Address - Fax:916-984-7762
Practice Address - Street 1:526 E BIDWELL ST
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-3119
Practice Address - Country:US
Practice Address - Phone:916-984-7749
Practice Address - Fax:916-984-7762
Is Sole Proprietor?:No
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA139910183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician