Provider Demographics
NPI:1265620470
Name:SLAUGHTER, PETER (LAC)
Entity type:Individual
Prefix:MR
First Name:PETER
Middle Name:
Last Name:SLAUGHTER
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5266 HOLLISTER AVE
Mailing Address - Street 2:SUITE 122
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93111-2037
Mailing Address - Country:US
Mailing Address - Phone:805-403-2188
Mailing Address - Fax:
Practice Address - Street 1:5266 HOLLISTER AVE
Practice Address - Street 2:SUITE 122
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93111-2037
Practice Address - Country:US
Practice Address - Phone:805-403-2188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-12
Last Update Date:2007-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 10139171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist