Individual
DR. DONNA RF LAGROTTERIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 COLORADO, PUEBLO, CO 81004-2006
(719) 543-8718
(719) 543-5340
Mailing address
110 E ROUTT AVE, PUEBLO, CO 81004-2006
(719) 543-8717
(719) 543-5340
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40619
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
68102020
—
CO
Enumeration date
06/29/2006
Last updated
05/29/2012
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