Mr. Laurent Edward Wanner
Occupational Health
1000 Northcrest Dr Ste 3
Crescent City
, California 95531-2317
Mr. Laurent Edward Wanner
Occupational Health
1000 Northcrest Dr Ste 3
Crescent City
, California 95531-2317
(707) 465-4132
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About
Features
Specialties
- Occupational Health
Languages spoken
- English
Location
First Address
- Mr. Laurent Edward Wanner
- 1000 Northcrest Dr Ste 3
- Crescent City, CA
- Zip : 95531-2317
- Fax : (707) 465-4132
- Phone : (707) 465-4132
Second Address
- Mr. Laurent Edward Wanner
- 1000 Northcrest Dr Ste 3
- Crescent City, CA
- Zip : 95531-2317
- Fax : (707) 465-4132
- Phone : (707) 465-4132
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NX0100X | Occupational Health | DC0020025 | CA |
National Provider Identifier
| NPI | 1093892697 |
|---|---|
| Provider Name | Mr. Laurent Edward Wanner |
| First Address | Crescent City, CA 95531-2317 |
| Second Address | Crescent City, CA 95531-2317 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/11/2006 |
| Last Update Date | 16/09/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 8907123 | (02) | CA |
| DC0200250 | (05) | CA |
| U088402 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.