Individual
DR. LAURA Z. FENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
(303) 493-7202
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
DR.0036952
CO
2085R0202X
Diagnostic Radiology Physician
36952
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01369529
—
CO
05
—
060974502
—
TX
05
—
100020300A
—
OK
05
—
100364650B
—
KS
05
—
104686104
—
MI
05
—
114854100
—
WY
05
—
1508842451
—
MT
05
—
1546820
—
IA
05
—
525115
—
AZ
05
—
60037750
—
NM
05
—
667418761A
—
GA
05
—
805662900
—
ID
01
—
P00123269
RR MCRE DIA
CO
01
—
P00123276
RR MCRE RIA
CO
01
—
P00123278
RR MCRE MIC
CO
05
—
XPY203764
—
CA
Enumeration date
12/21/2005
Last updated
11/17/2018
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