Individual
LAURA A STEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
902 LAKEVIEW AVE, PUEBLO, CO 81004
(719) 557-5855
(719) 557-5097
Mailing address
902 LAKEVIEW AVE, PUEBLO, CO 81004-3597
(719) 557-5855
(719) 557-5097
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34823
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01348234
—
CO
Enumeration date
06/21/2005
Last updated
07/09/2018
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