Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | G51809 | CA |
NPI | 1184783177 |
---|---|
Provider Name | Dr. Laura Anderson Workman |
First Address | Sacramento, CA 95816-7097 |
Second Address | Sacramento, CA 95816-7097 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2006 |
Last Update Date | 14/07/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G518091 | MEDICAL (01) | CA |
F-08509 | (02) | CA |