Healthcare Provider Details

I. General information

NPI: 1770005522
Provider Name (Legal Business Name): BARBARA JEAN LAURENT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2017
Last Update Date: 05/16/2025
Certification Date: 05/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

433 TURK ST
SAN FRANCISCO CA
94102-3329
US

IV. Provider business mailing address

433 TURK ST
SAN FRANCISCO CA
94102-3329
US

V. Phone/Fax

Practice location:
  • Phone: 415-928-7800
  • Fax: 415-927-3710
Mailing address:
  • Phone:
  • Fax: 415-928-3710

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: