Provider Demographics
NPI:1982630299
Name:TERZO, LAURIE (LAC, MS)
Entity Type:Individual
Prefix:
First Name:LAURIE
Middle Name:
Last Name:TERZO
Suffix:
Gender:F
Credentials:LAC, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:870 MARKET ST
Mailing Address - Street 2:SUITE 1117
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-3002
Mailing Address - Country:US
Mailing Address - Phone:415-362-4600
Mailing Address - Fax:415-362-4600
Practice Address - Street 1:870 MARKET ST
Practice Address - Street 2:SUITE 1117
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-3002
Practice Address - Country:US
Practice Address - Phone:415-362-4600
Practice Address - Fax:415-362-4600
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAAC 8290171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist