Healthcare Provider Details

I. General information

NPI: 1407547110
Provider Name (Legal Business Name): LAURA MICHELLE SAVOIE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2023
Last Update Date: 05/15/2023
Certification Date: 05/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

526 E BIDWELL ST
FOLSOM CA
95630-3119
US

IV. Provider business mailing address

526 E BIDWELL ST
FOLSOM CA
95630-3119
US

V. Phone/Fax

Practice location:
  • Phone: 916-984-7749
  • Fax: 916-984-7762
Mailing address:
  • Phone: 916-984-7749
  • Fax: 916-984-7762

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number139910
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: