Individual
MS. LAURIE LEE WERTZBAUGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
172 JUSTICE CENTER RD, CANON CITY, CO 81212-9354
(719) 275-1626
(719) 275-4328
Mailing address
3275 HIGHLAND AVE, CANON CITY, CO 81212-9310
(719) 275-1626
(719) 275-4328
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
70941
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07709413
—
CO
Enumeration date
05/20/2008
Last updated
05/20/2008
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