Provider Demographics
NPI:1043021751
Name:BEGAY, LAURA J
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:J
Last Name:BEGAY
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:572 MADRONE AVE
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94085-3621
Mailing Address - Country:US
Mailing Address - Phone:408-603-7081
Mailing Address - Fax:
Practice Address - Street 1:572 MADRONE AVE
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94085-3621
Practice Address - Country:US
Practice Address - Phone:408-603-7081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator