Provider Demographics
NPI:1689425225
Name:ONEIL, LAURA (CD,PCD)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:ONEIL
Suffix:
Gender:F
Credentials:CD,PCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11220 ELIANO ST
Mailing Address - Street 2:
Mailing Address - City:ATASCADERO
Mailing Address - State:CA
Mailing Address - Zip Code:93422-6158
Mailing Address - Country:US
Mailing Address - Phone:805-459-0584
Mailing Address - Fax:
Practice Address - Street 1:11220 ELIANO ST
Practice Address - Street 2:
Practice Address - City:ATASCADERO
Practice Address - State:CA
Practice Address - Zip Code:93422-6158
Practice Address - Country:US
Practice Address - Phone:805-459-0584
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula