Provider Demographics
NPI:1720493828
Name:PAZ, LAURA (HAD)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:PAZ
Suffix:
Gender:F
Credentials:HAD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6206 E PIMA ST
Mailing Address - Street 2:#4
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-7000
Mailing Address - Country:US
Mailing Address - Phone:520-885-0234
Mailing Address - Fax:520-885-0507
Practice Address - Street 1:6206 E PIMA ST
Practice Address - Street 2:#4
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-7000
Practice Address - Country:US
Practice Address - Phone:520-885-0234
Practice Address - Fax:520-885-0507
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-26
Last Update Date:2014-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZHAD6554237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist