Provider Demographics
NPI:1831077320
Name:HANSEN, LAURA KATHERINE (ICBD)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:KATHERINE
Last Name:HANSEN
Suffix:
Gender:F
Credentials:ICBD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1726 SPRINGBROOK RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-6249
Mailing Address - Country:US
Mailing Address - Phone:530-559-5872
Mailing Address - Fax:
Practice Address - Street 1:29 SAN JUAN AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94112-2615
Practice Address - Country:US
Practice Address - Phone:510-905-4018
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-23
Last Update Date:2025-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula