Individual
DIANA L HARTSOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(720) 536-7768
Mailing address
2220 W 135TH AVE, WESTMINSTER, CO 80234-1061
(303) 439-9466
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
102766
CO
207N00000X
Dermatology Physician
Primary
102766
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004964
KAISER-COMMERCIAL NUMBER
—
Enumeration date
02/16/2007
Last updated
03/03/2008
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