Provider Demographics
NPI:1518582808
Name:BROWN, LAURA (DACM, LAC)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:DACM, LAC
Other - Prefix:DR
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DACM, LAC
Mailing Address - Street 1:2001 FILLMORE ST STE 7
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-2775
Mailing Address - Country:US
Mailing Address - Phone:415-225-5452
Mailing Address - Fax:
Practice Address - Street 1:2001 FILLMORE ST STE 7
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-2775
Practice Address - Country:US
Practice Address - Phone:415-225-5452
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-11
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18650171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist