Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | PA.0007130 | CO |
NPI | 1003574286 |
---|---|
Provider Name | Courtney Lynn Cochran |
First Address | Aurora, CO 80016-2601 |
Second Address | Highlands Ranch, CO 80129-2342 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/12/2021 |
Last Update Date | 03/12/2021 |