Provider Demographics
NPI:1518504513
Name:SCHMEER, LAURA (MPAS, PA-C)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:SCHMEER
Suffix:
Gender:F
Credentials:MPAS, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:661 CAMINO ROJO
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-2115
Mailing Address - Country:US
Mailing Address - Phone:805-630-2232
Mailing Address - Fax:
Practice Address - Street 1:601 E DAILY DR STE 228
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-5840
Practice Address - Country:US
Practice Address - Phone:805-914-0637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-09
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA57536363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant