Provider Demographics
NPI:1649995564
Name:AOKI, LAURA GENEVIEVE (LAC)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:GENEVIEVE
Last Name:AOKI
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:GENEVIEVE
Other - Last Name:AOKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAURA HUGHES
Mailing Address - Street 1:1313 GREEN FOREST DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-1862
Mailing Address - Country:US
Mailing Address - Phone:512-981-0492
Mailing Address - Fax:
Practice Address - Street 1:5505 W PARMER LN
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78727-4020
Practice Address - Country:US
Practice Address - Phone:877-412-7753
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-04
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXACO1550171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist