Individual
LAURIE GASPAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1800 15TH ST STE A, GREELEY, CO 80631-4595
(970) 810-3894
Mailing address
218 JACKSON ST, DENVER, CO 80206-5525
(303) 909-4441
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
37878
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
98174240
—
CO
Enumeration date
08/25/2006
Last updated
11/02/2018
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