Provider Demographics
NPI:1558455444
Name:MCMORROW, LAURA (DC)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:
Last Name:MCMORROW
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 1:415 ALTURAS ST
Mailing Address - Street 2:STE 5
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-4144
Mailing Address - Country:US
Mailing Address - Phone:530-755-4034
Mailing Address - Fax:844-887-9707
Practice Address - Street 1:415 ALTURAS ST
Practice Address - Street 2:STE 5
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-4144
Practice Address - Country:US
Practice Address - Phone:530-755-4034
Practice Address - Fax:844-887-9707
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 24746111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU74059Medicare UPIN
CADC0247460Medicare ID - Type Unspecified