Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QA0505X | Family Doctor - Adult Medicine | DR.0055613 | CO |
Y | 207R00000X | Internist | DR.0055613 | CO |
Y | 111NI0900X | Internist | DR.0055613 | CO |
N | 207R00000X | Internist | TL0004871 | CO |
N | 111NI0900X | Internist | TL0004871 | CO |
NPI | 1295173151 |
---|---|
Provider Name | Dr. Laurel Ann Verant |
First Address | Denver, CO 80247-1314 |
Second Address | Colorado Springs, CO 80910-3131 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2013 |
Last Update Date | 13/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
028877 | KAISER COMMERCIAL NUMBER (01) | CO |
63220067 | (05) | CO |
TL0004871 | DEPARTMENT OF REGULATORY AGENCIES DIVISION OF PROFESSIONS AND OCCUPATIONS (01) | CO |