Search › California › 363A00000X
Laura Fundingsland, PA-C
NPI 1871057141 · on the registry since 2019 · sole proprietor
Practice
- Address
- 1106 Pacific St
San Luis Obispo, CA 93401 - Phone
- (805) 546-9500
- Fax
- (805) 546-9699
- Organisation at this address
- Kenneth P. Tway, M.D., F.A.C.C., Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-05-11
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