Basic Information
Provider Information
NPI: 1134225980
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CASAS
FirstName: LAURA
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: N.P.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: ABRIGNANI
OtherFirstName: LAURA
OtherMiddleName: M
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: N.P.
OtherLastNameType: 1
Mailing Information
Address1: PO BOX 62106
Address2:  
City: SANTA BARBARA
State: CA
PostalCode: 931602106
CountryCode: US
TelephoneNumber: 8056811761
FaxNumber: 8056811768
Practice Location
Address1: 215 PESETAS LN
Address2:  
City: SANTA BARBARA
State: CA
PostalCode: 931101416
CountryCode: US
TelephoneNumber: 8056811761
FaxNumber: 8056811768
Other Information
ProviderEnumerationDate: 09/16/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LW0102XNP8836CAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health

No ID Information.


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