Provider Demographics
NPI:1457559213
Name:FAUCHIER, LAURA ELIZABETH (DDS)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:ELIZABETH
Last Name:FAUCHIER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2947 DIAMOND MILL CIR
Mailing Address - Street 2:
Mailing Address - City:CORALVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52241-1483
Mailing Address - Country:US
Mailing Address - Phone:319-573-5954
Mailing Address - Fax:319-377-4384
Practice Address - Street 1:955 31ST ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:IA
Practice Address - Zip Code:52302-3788
Practice Address - Country:US
Practice Address - Phone:319-377-4867
Practice Address - Fax:319-377-4384
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA08498122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist