Individual
LAURA KWON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
163 BROADWAY ST, COLCHESTER, CT 06415-1022
(860) 537-4601
Mailing address
1960 N OGDEN ST, STE 400, DENVER, CO 80218-3670
(303) 318-1540
(303) 318-2481
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
63991
CT
Other
Enumeration date
06/17/2016
Last updated
06/30/2020
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