Provider Information for 1932402732
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
SAMANTHA WEBER LAURIE
Other Names:Former Name:SAMANTHA MARIE WEBERSex: Female
NPI: 1932402732
Last Updated: 2022-12-19
Certification Date: 2022-12-19
Certification Date: 2022-12-19
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1932402732 | ||||||||||||
| Enumeration Date | 2010-12-16 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 55 INDEPENDENCE CIR STE 106 CHICO, CA 95973-4909 United States Phone: 530-521-5818 | Fax:530-521-5818 | ||||||||||||
| Primary Practice Address | 55 INDEPENDENCE CIR STE 106 CHICO, CA 95973-4909 United States Phone: 530-521-5818 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 260 COHASSET RD STE 120 | ||||||||||||
| Health Information Exchange |
| ||||||||||||
| Other Identifiers |
| ||||||||||||
| Taxonomy |
|