Individual
LAURIE A. WEYMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
805 AEROVISTA PL STE 202, SAN LUIS OBISPO, CA 93401-7920
(805) 541-0668
(805) 541-8213
Mailing address
2285 CORPORATE CIR, STE 200, HENDERSON, NV 89074-7759
(702) 360-2763
(949) 783-2880
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
11473
CA
363L00000X
Nurse Practitioner
Primary
11473
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00225067
RR MEDICARE
CA
Enumeration date
06/05/2007
Last updated
08/06/2019
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