Individual
LAURA R DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2045 N FRANKLIN ST, DENVER, CO 80205-5437
(303) 338-4545
Mailing address
2500 S HAVANA ST, AURORA, CO 80014-1618
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.0004026
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025232
KAISER COMMERCIAL NUMBER
CO
05
—
77637224
—
CO
Enumeration date
12/05/2008
Last updated
05/07/2021
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