Healthcare Provider Details

I. General information

NPI: 1780336719
Provider Name (Legal Business Name): LAURA ANN ZELAYA DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2022
Last Update Date: 01/20/2022
Certification Date: 01/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

89 PORTSMOUTH AVE
STRATHAM NH
03885-2467
US

IV. Provider business mailing address

474 SAGAMORE RD
RYE NH
03870-2027
US

V. Phone/Fax

Practice location:
  • Phone: 603-772-6400
  • Fax:
Mailing address:
  • Phone: 714-604-8273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1114
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: