Individual
DR. LAURENCE F GAYNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
501 E HAMPDEN AVE, ENGLEWOOD, CO 80113-2702
(303) 761-9190
Mailing address
10700 E GEDDES AVE, NO 200, ENGLEWOOD, CO 80112-3800
(303) 761-9190
(303) 761-6278
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
18133
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01181338
—
CO
01
—
02555484
NY MEDICAID
NY
01
—
053216001
TX MEDICAID
TX
05
—
100017792
—
WI
05
—
100257090000
—
NE
01
—
104686150
MI MEDICAID
MI
05
—
1336126184
—
IL
05
—
1336126184
—
UT
05
—
1336126184
—
WY
05
—
179782001
—
AR
05
—
200410090A
—
KS
05
—
200424900A
—
OK
05
—
2316265
—
LA
01
—
300049135
RR MCRE RIA
CO
01
—
300089928
RR MCRE MIC
CO
01
—
414545970A
GA MEDICAID
GA
05
—
7100227240
—
KY
05
—
7617666
—
NC
05
—
84-059792913
—
NE
05
—
84073331
—
NM
01
—
922121
AZ MEDICAID
AZ
01
—
XPY201227
CA MEDICAID
CA
Enumeration date
12/22/2005
Last updated
07/07/2014
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