Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 45968 | CO |
N | 207ND0900X | Dermatopathologist | 45968 | CO |
NPI | 1356491393 |
---|---|
Provider Name | Dr. Laurel Reinhart Stearns |
First Address | Eagle, CO 81631-5850 |
Second Address | Avon, CO 81620 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2007 |
Last Update Date | 21/07/2016 |