Individual
DR. LAURA TAVARES BOMBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
293 LINDEN ST, FALL RIVER, MA 02720-5216
(508) 678-1233
(508) 678-9893
Mailing address
293 LINDEN ST, FALL RIVER, MA 02720-5216
(508) 678-1233
(508) 678-9893
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1628
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3526-2
BLUE CROSS BLUE SHIELD
RI
01
—
Y36136
BLUE CROSS BLUE SHIELD
MA
01
—
Y36136
TUFTS
—
Enumeration date
08/30/2006
Last updated
02/01/2012
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