Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 31104 | CO |
NPI | 1407894199 |
---|---|
Provider Name | Dr. Carmen Laronn |
First Address | Centennial, CO 80111-4564 |
Second Address | Centennial, CO 80111-4564 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E-60498 | (02) | CO |