Provider Demographics
NPI:1922270172
Name:SO, LAURA FRANZ (CPO)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:FRANZ
Last Name:SO
Suffix:
Gender:F
Credentials:CPO
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:BETH
Other - Last Name:FRANZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPO
Mailing Address - Street 1:842 CALIFORNIA BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN LUIS OBISPO
Mailing Address - State:CA
Mailing Address - Zip Code:93401
Mailing Address - Country:US
Mailing Address - Phone:805-541-3800
Mailing Address - Fax:805-541-3818
Practice Address - Street 1:842 CALIFORNIA BLVD
Practice Address - Street 2:
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93401
Practice Address - Country:US
Practice Address - Phone:805-541-3800
Practice Address - Fax:805-541-3818
Is Sole Proprietor?:No
Enumeration Date:2008-03-27
Last Update Date:2012-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist