Provider Demographics
NPI:1558512400
Name:HELMS, LAURENT STEPHUN JR (NMD)
Entity Type:Individual
Prefix:DR
First Name:LAURENT
Middle Name:STEPHUN
Last Name:HELMS
Suffix:JR
Gender:M
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 W BROADWAY RD STE 3
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-1269
Mailing Address - Country:US
Mailing Address - Phone:480-968-4208
Mailing Address - Fax:
Practice Address - Street 1:930 WEST BROADWAY ROAD
Practice Address - Street 2:SUITE 3
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282
Practice Address - Country:US
Practice Address - Phone:480-968-4208
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-08
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ07-971175F00000X
CAND-407175F00000X
UT8152471-7100175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath