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Individual

LAURA K SAYLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
18111 BROOKHURST ST, SUITE 1100, FOUNTAIN VALLEY, CA 92708-6728
(714) 861-4770
(714) 861-4771
Mailing address
17360 BROOKHURST ST, ATTN: MCMF - CREDENTIALING DEPARTMENT, FOUNTAIN VALLEY, CA 92708-3720

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
14192
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00NP141920
CA
Enumeration date
10/02/2006
Last updated
04/14/2015
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