Provider Demographics
NPI:1497878912
Name:CARSNER, LAURA G (DC)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:G
Last Name:CARSNER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2801 MISSOURI AVE
Mailing Address - Street 2:SUITE. #22
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88011-5075
Mailing Address - Country:US
Mailing Address - Phone:505-521-0707
Mailing Address - Fax:
Practice Address - Street 1:2801 MISSOURI AVE
Practice Address - Street 2:SUITE. #22
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-5075
Practice Address - Country:US
Practice Address - Phone:505-521-0707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1556111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor