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Individual

LAURIE WING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10065 E HARVARD AVE, DENVER, CO 80231-5968
(303) 614-1550
Mailing address
14450 W 82ND AVE, ARVADA, CO 80005-1714

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0180200
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
163W00000X
KAISER-PERMANENTE
CO
Enumeration date
05/01/2014
Last updated
05/01/2014
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