Individual
LAURA ELIZABETH BLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
433 SUMMIT BLVD UNIT 201, BROOMFIELD, CO 80021-8299
(303) 673-9090
(303) 673-9195
Mailing address
433 SUMMIT BLVD UNIT 201, BROOMFIELD, CO 80021-8299
(303) 673-9090
(303) 673-9195
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA3950
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000143508
—
CO
Enumeration date
10/15/2007
Last updated
04/18/2017
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