Individual
LAURETTA F GARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
130 E VIRGINIA AVE, GUNNISON, CO 81230-2246
(970) 641-0211
(970) 641-1268
Mailing address
130 E VIRGINIA AVE, GUNNISON, CO 81230-2246
(970) 641-0211
(970) 641-1268
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28208
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84750057
—
CO
01
—
GA89548
BCBS
CO
Enumeration date
05/04/2006
Last updated
08/26/2021
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