Provider Demographics
NPI:1184783177
Name:WORKMAN, LAURA ANDERSON (MD)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:ANDERSON
Last Name:WORKMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LAURA
Other - Middle Name:MARLENE
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1625 STOCKTON BLVD
Mailing Address - Street 2:SUITE 112
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-7097
Mailing Address - Country:US
Mailing Address - Phone:916-262-9163
Mailing Address - Fax:916-262-9135
Practice Address - Street 1:1625 STOCKTON BLVD
Practice Address - Street 2:SUITE 112
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-7097
Practice Address - Country:US
Practice Address - Phone:916-262-9163
Practice Address - Fax:916-262-9135
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2011-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG51809207SG0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G518091OtherMEDICAL
CA00G518091OtherMEDICAL