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Search › California › 101YM0800X

Laura Koonin

NPI 1316132830 · on the registry since 2007 · sole proprietor

Practice

Address
155 Willowbrook Dr
Ben Lomond, CA 95005
Phone
(831) 336-5196
Organisation at this address
Front St Inc
Willowbrook Residential Care 2 Llc
Willowbrook Residential Care 1 Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
43

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-12-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California