Provider Demographics
NPI:1982006748
Name:GALEAZZI, LAURA (ACNP)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:
Last Name:GALEAZZI
Suffix:
Gender:F
Credentials:ACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44241 15TH ST W
Mailing Address - Street 2:#101
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-4037
Mailing Address - Country:US
Mailing Address - Phone:661-945-0601
Mailing Address - Fax:661-949-5965
Practice Address - Street 1:44241 15TH ST W
Practice Address - Street 2:#101
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-4037
Practice Address - Country:US
Practice Address - Phone:661-945-0601
Practice Address - Fax:661-949-5965
Is Sole Proprietor?:No
Enumeration Date:2014-09-23
Last Update Date:2014-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10849363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care