Individual
DR. LAWRENCE J HERGOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2045 N FRANKLIN ST, DENVER, CO 80205-5437
(303) 338-4545
Mailing address
2045 N FRANKLIN ST, DENVER, CO 80205-5437
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
23232
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002264
KAISER COMMERCIAL NUMBER
CO
05
—
01232321
—
CO
Enumeration date
10/13/2006
Last updated
04/25/2016
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