Individual
LAURA A CANNAVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
950 E HARVARD AVE, SUITE 380, DENVER, CO 80210-7009
(303) 698-9161
(303) 698-9185
Mailing address
950 E HARVARD AVE, SUITE 380, DENVER, CO 80210-7009
(303) 698-9161
(303) 698-9185
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
22234
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01222348
—
CO
01
—
CA15751
BLUE CROSS BLUE SHIELD
CO
Enumeration date
06/16/2006
Last updated
04/25/2008
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