Provider Demographics
NPI:1508861410
Name:LAURI-BECKETT, BARBRO (DDS)
Entity Type:Individual
Prefix:DR
First Name:BARBRO
Middle Name:
Last Name:LAURI-BECKETT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1430 EAST AVE
Mailing Address - Street 2:STE 6
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-1628
Mailing Address - Country:US
Mailing Address - Phone:530-893-8913
Mailing Address - Fax:530-893-2434
Practice Address - Street 1:1430 EAST AVE
Practice Address - Street 2:STE 6
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-1628
Practice Address - Country:US
Practice Address - Phone:530-893-8913
Practice Address - Fax:530-893-2434
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA249441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice