Provider Demographics
NPI:1659411890
Name:BARKER, LAURA LOWE (MD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:LOWE
Last Name:BARKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:546 W BADILLO ST STE D
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91722-3786
Mailing Address - Country:US
Mailing Address - Phone:626-967-6416
Mailing Address - Fax:626-967-6419
Practice Address - Street 1:546 W BADILLO ST STE D
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91722-3786
Practice Address - Country:US
Practice Address - Phone:626-967-6416
Practice Address - Fax:626-967-6419
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG37639174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist