Provider Demographics
NPI:1407945439
Name:LAUGHLIN, BETH E (ND)
Entity Type:Individual
Prefix:DR
First Name:BETH
Middle Name:E
Last Name:LAUGHLIN
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13-3496 MOKU STREET
Mailing Address - Street 2:
Mailing Address - City:PAHOA
Mailing Address - State:HI
Mailing Address - Zip Code:96778
Mailing Address - Country:US
Mailing Address - Phone:808-491-2510
Mailing Address - Fax:866-440-4399
Practice Address - Street 1:13-3496 MOKU STREET
Practice Address - Street 2:
Practice Address - City:PAHOA
Practice Address - State:HI
Practice Address - Zip Code:96778
Practice Address - Country:US
Practice Address - Phone:808-491-2510
Practice Address - Fax:866-440-4399
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK29175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKN1114OtherBCBS OF ALASKA PROVIDER #