Individual provider Active NPI

Laurel Landroche

  • Contractor
  • Tucson, AZ
National Provider Identifier
1194977629
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
350757 Issued in AZ
Practice address
5321 W Fireopal Way
Tucson, AZ 85742-9432
Phone
(520) 579-0992
NPI assigned
Oct 15, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 350757 AZ Primary

Addresses

Primary practice location

5321 W Fireopal Way
Tucson, AZ 85742-9432

Mailing address

994 S Harrison Rd
Tucson, AZ 85748-6608
Phone (520) 721-1887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
350757AZMDContractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224028800000",
    "number": "1194977629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "994 S HARRISON RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857486608",
            "telephone_number": "520-721-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5321 W FIREOPAL WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857429432",
            "telephone_number": "520-579-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDROCHE",
        "first_name": "LAUREL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-15",
        "last_updated": "2008-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "AZ",
            "license": "350757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.