Most Relevant Information
Provider Data
| NPI Number: | 1003491317 |
| Provider Name: | LAURA ELIZABETH DERR L.AC |
| Entity Type: | Individual |
| Taxonomy Code: | 171100000X |
| Specialty: | Acupuncturist |
| License Number: | 18973 |
Most Important Dates
| Enumeration Date: | 03/17/2021 |
| Last Updated: | 03/17/2021 |
Provider Practice Location
421 MISSION ST APT H
SOUTH PASADENA
CA
910303047
Practice Location Phone/Fax
| Phone: | 6263903189 |
| Fax: |
Provider Mailing Location
421 MISSION ST APT H
SOUTH PASADENA
CA
910303047
Provider Mailing Phone/Fax
| Phone: | 6263903189 |
| Fax: |