Individual
DR. LAURA LEE LONGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO169510
OR
207R00000X
Internal Medicine Physician
Primary
DR.0059503
CO
207R00000X
Internal Medicine Physician
PG154867
OR
Other
Enumeration date
05/13/2011
Last updated
03/17/2018
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