Individual
MS. LAURA BETH HUNDEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2919 VALMONT RD STE 204, BOULDER, CO 80301-1350
(303) 938-1110
(303) 938-1145
Mailing address
2919 VALMONT RD # 204, BOULDER, CO 80301-1350
(303) 938-1110
(303) 938-1145
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
3395
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70073040
—
CO
Enumeration date
03/19/2012
Last updated
09/14/2022
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