Provider Demographics
NPI:1790019578
Name:FEENEY, LAURA LYNN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:LYNN
Last Name:FEENEY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:423 IRVING ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-2511
Mailing Address - Country:US
Mailing Address - Phone:949-278-3247
Mailing Address - Fax:
Practice Address - Street 1:3850 17TH ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94114-2031
Practice Address - Country:US
Practice Address - Phone:415-934-7700
Practice Address - Fax:415-558-8221
Is Sole Proprietor?:No
Enumeration Date:2009-09-25
Last Update Date:2017-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA63016183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist