Provider Demographics
NPI:1427233295
Name:WEESHOFF, LAURA (NATUROPATHIC DOCTOR)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:
Last Name:WEESHOFF
Suffix:
Gender:F
Credentials:NATUROPATHIC DOCTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10538 E BETONY DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-8810
Mailing Address - Country:US
Mailing Address - Phone:919-622-4360
Mailing Address - Fax:480-883-8306
Practice Address - Street 1:2330 W RAY RD # 2
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-3560
Practice Address - Country:US
Practice Address - Phone:480-883-8160
Practice Address - Fax:480-883-8306
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-29
Last Update Date:2016-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ07-1014175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath