Individual
LAURA STOCKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1650 COCHRANE CIR, EVANS ARMY COMMUNITY HOSPITAL, FORT CARSON, CO 80913-4613
(719) 526-7000
Mailing address
1650 COCHRANE CIR, EVANS ARMY COMMUNITY HOSPITAL, FORT CARSON, CO 80913-4613
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0102203226
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2011
Last updated
04/01/2013
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