Provider Demographics
NPI:1952704967
Name:BADALAMENTI, LAURA THERESE (ND)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:THERESE
Last Name:BADALAMENTI
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5416 E SOUTHERN AVE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-3622
Mailing Address - Country:US
Mailing Address - Phone:480-985-0000
Mailing Address - Fax:480-985-0029
Practice Address - Street 1:5416 E SOUTHERN AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-3622
Practice Address - Country:US
Practice Address - Phone:480-985-0000
Practice Address - Fax:480-985-0029
Is Sole Proprietor?:No
Enumeration Date:2014-10-03
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ14-1444175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath