Individual
MS. LAURA CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
280 W MACARTHUR BLVD, REGIONAL SPINE SURGERY, OAKLAND, CA 94611-5642
(510) 752-7040
Mailing address
1708 FRANKLIN ST # B, BERKELEY, CA 94702-1413
(510) 644-3184
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA16164
CA
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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