MEDICARE: DR. LAURA MARIE WEBB MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	A109006	CA

General Provider Information

NPI Number	:	1104084110
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAURA MARIE WEBB MD

Provider Business Mailing Address
First Line	:	3500 ALAMEDA DE LAS PULGAS STE 200
Second Line	:
City	:	MENLO PARK
State	:	CA
Zip	:	94025-6569
Country	:	US
Telephone Number	:	650-815-9577
Fax Number	:

Provider Business Practice Location Address
First Line	:	3500 ALAMEDA DE LAS PULGAS STE 200
Second Line	:
City	:	MENLO PARK
State	:	CA
Zip	:	94025-6569
Country	:	US
Telephone Number	:	650-815-9577
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2008
Last Update Date	:	09/26/2018

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