Provider Demographics
NPI:1780336719
Name:ZELAYA, LAURA ANN (DC)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:ANN
Last Name:ZELAYA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:474 SAGAMORE RD
Mailing Address - Street 2:
Mailing Address - City:RYE
Mailing Address - State:NH
Mailing Address - Zip Code:03870-2027
Mailing Address - Country:US
Mailing Address - Phone:714-604-8273
Mailing Address - Fax:
Practice Address - Street 1:89 PORTSMOUTH AVE
Practice Address - Street 2:
Practice Address - City:STRATHAM
Practice Address - State:NH
Practice Address - Zip Code:03885-2467
Practice Address - Country:US
Practice Address - Phone:603-772-6400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-20
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1114111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor