Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 01080844A | IN |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 23907 | CO |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 65934 | WI |
NPI | 1184627549 |
---|---|
Provider Name | L. Dorine Day |
First Address | Wheat Ridge, CO 80033-6018 |
Second Address | Wheat Ridge, CO 80033 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2005 |
Last Update Date | 29/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01239078 | (05) | CO |
D24348 | (02) | CO |