Individual provider · Type 1 NPI
Laura E. Street
Student in an Organized Health Care Education/Training Program · Lackland Afb, TX
Practice location
59 MHS/SGOWV1, 2200 Bergquist Dr Ste 1, Whmc/psychiatry
Lackland Afb, TX 78236-9908
Fax (210) 292-5944
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1912223710
Laura E. Street's National Provider Identifier is 1912223710, issued on Apr 19, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lackland Afb, TX. The record was last updated on Apr 19, 2010.