Provider Demographics
NPI:1043621873
Name:DR. LAURA T. SOWERS-MOKUAHI DC, LLC
Entity type:Organization
Organization Name:DR. LAURA T. SOWERS-MOKUAHI DC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:T
Authorized Official - Last Name:SOWERS-MOKUAHI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:858-485-8220
Mailing Address - Street 1:12409 RANCHO BERNARDO RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-2143
Mailing Address - Country:US
Mailing Address - Phone:858-485-8220
Mailing Address - Fax:858-485-8222
Practice Address - Street 1:12409 RANCHO BERNARDO RD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-2143
Practice Address - Country:US
Practice Address - Phone:858-485-8220
Practice Address - Fax:858-485-8222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-14
Last Update Date:2014-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty