Larson, Laura Lee

Larson, Laura Lee is an individual health care provider with primary practice located at 27201 Highway 189 , Blue Jay CA 92317. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Hygienist, Dental Providers / Dental Laboratory Technician. Dental Providers / Dental Hygienist is her primary health care specialty. Larson, Laura Lee can be contacted via phone (909) 337-6670.

Contact Information

Primary practice address
27201 Highway 189 Blue Jay CA 92317
Phone: (909) 337-6670
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 16999 California
Dental Providers / Dental Laboratory Technician 126900000X 16999 California

Profile Details

NPI number 1154509677
LBN Legal business name Larson, Laura Lee
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2008
Last updated Feb 6th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers