Individual provider · Type 1 NPI

Laura Lea Buckert, BSRN, PHN

Case Management Registered Nurse · San Luis Obispo, CA

NPI number 1366895898 Active

Practice location

2191 Johnson Ave
San Luis Obispo, CA 93401-4534

Call (805) 788-2188 Map

Mailing address

981 Las Tunas St
Morro Bay, CA 93442-2319

Specialties and licenses

Taxonomy	Code	License
Case Management Registered Nurse Primary	163WC0400X	492283 (CA)

Case Management Registered Nurse: Definition to come...

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About NPI 1366895898

Laura Lea Buckert, BSRN, PHN's National Provider Identifier is 1366895898, issued on Jul 20, 2016. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in San Luis Obispo, CA. The record was last updated on Jul 20, 2016.