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NPI Code Detail

MEDICARE: LAURA SALLETTE

MEDICARE:   LAURA  SALLETTE
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
1363AM0700XMedical Physician Assistant

General Provider Information

NPI Number : 1639021934
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA SALLETTE
Provider Business Mailing Address
First Line : 1333 MERIDIAN AVE
Second Line :
City : SAN JOSE
State : CA
Zip : 95125-5212
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1333 MERIDIAN AVE
Second Line :
City : SAN JOSE
State : CA
Zip : 95125-5212
Country : US
Telephone Number : 408-455-8172
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2026
Last Update Date : 02/10/2026

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Directions to “ LAURA SALLETTE ” Practice Location

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