Provider Demographics
NPI:1821307786
Name:HARMON, LAURA ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:ANN
Last Name:HARMON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:LAURA
Other - Middle Name:ANN
Other - Last Name:HARMON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:967 W WILLIAMS AVE
Mailing Address - Street 2:
Mailing Address - City:FALLON
Mailing Address - State:NV
Mailing Address - Zip Code:89406-2631
Mailing Address - Country:US
Mailing Address - Phone:775-423-7000
Mailing Address - Fax:
Practice Address - Street 1:967 W WILLIAMS AVE
Practice Address - Street 2:
Practice Address - City:FALLON
Practice Address - State:NV
Practice Address - Zip Code:89406-2631
Practice Address - Country:US
Practice Address - Phone:775-423-7000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-27
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB01356111N00000X
CADC-31043111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor