Provider Demographics
NPI:1356718498
Name:O'KEEFE, LAURA (DVM)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:
Last Name:O'KEEFE
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:DR
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:ROSENBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DVM
Mailing Address - Street 1:4791 EDGARTOWN DR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92649-6436
Mailing Address - Country:US
Mailing Address - Phone:703-872-9946
Mailing Address - Fax:
Practice Address - Street 1:4791 EDGARTOWN DR
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92649-6436
Practice Address - Country:US
Practice Address - Phone:703-872-9946
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-24
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVET10035174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian