Individual
LAURA LYNNE ASARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
875 BLAKE WILBUR DR, CLINIC D, STANFORD, CA 94305
(650) 723-6197
Mailing address
875 BLAKE WILBUR DR, CLINIC D, STANFORD, CA 94305-2200
(650) 723-6197
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
201150140NP
OR
363L00000X
Nurse Practitioner
Primary
95010735
CA
363L00000X
Nurse Practitioner
NP-763A
ID
363LF0000X
Family Nurse Practitioner
RN2319223
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110132668A
—
MA
05
—
807569400
—
ID
Enumeration date
09/24/2006
Last updated
02/03/2025
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