Provider Demographics
NPI:1952303661
Name:POST, LAURA LEIGH (MD, PHD, JD)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:LEIGH
Last Name:POST
Suffix:
Gender:F
Credentials:MD, PHD, JD
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Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1270 N. MARINE CORPS DRIVE #101
Mailing Address - Street 2:PMB 889
Mailing Address - City:TAMUNING
Mailing Address - State:GU
Mailing Address - Zip Code:96913-3223
Mailing Address - Country:US
Mailing Address - Phone:671-647-1961
Mailing Address - Fax:671-979-1046
Practice Address - Street 1:143 TUN JOAQUIN SANTOS LANE
Practice Address - Street 2:
Practice Address - City:TUMON
Practice Address - State:GU
Practice Address - Zip Code:96913-3223
Practice Address - Country:US
Practice Address - Phone:671-647-1961
Practice Address - Fax:671-979-1046
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2016-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG643202084P0800X
GUM13822084P0800X
MP2172084P0800X
NV148762084P0800X
HI170872084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry