Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | DO034754 | DC |
Y | 2080P0204X | Pediatric Emergency Doctor | DR.0063202 | CO |
NPI | 1275842692 |
---|---|
Provider Name | Lois Sumie Nosker |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2010 |
Last Update Date | 30/09/2019 |