Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 39351 | CO |
NPI | 1003986720 |
---|---|
Provider Name | Dr. Laurel Elizabeth Wright |
First Address | Denver, CO 80256-0825 |
Second Address | Pueblo, CO 81003-2700 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2006 |
Last Update Date | 20/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
438388 | (02) | |
72332379 | (05) | CO |