Provider Demographics
NPI:1407929078
Name:DEMPSEY, LAURENCE BRIAN (LAC)
Entity Type:Individual
Prefix:
First Name:LAURENCE
Middle Name:BRIAN
Last Name:DEMPSEY
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 D ST
Mailing Address - Street 2:
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95616-4512
Mailing Address - Country:US
Mailing Address - Phone:530-758-7525
Mailing Address - Fax:530-758-2129
Practice Address - Street 1:237 D ST
Practice Address - Street 2:
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95616-4512
Practice Address - Country:US
Practice Address - Phone:530-758-7525
Practice Address - Fax:530-758-2129
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC4741171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist