Individual
LAURA THERESE KIMBRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
8911 LAKEWOOD DR, SUITE 23, WINDSOR, CA 95492-7856
(707) 892-2146
(707) 892-2152
Mailing address
8911 LAKEWOOD DR, SUITE 23, WINDSOR, CA 95492-7856
(707) 892-2146
(707) 892-2152
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
20A13382
CA
207VG0400X
Gynecology Physician
2950
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
319443
—
AZ
Enumeration date
04/10/2006
Last updated
05/03/2017
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