Individual
LARYSSA R DRAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2014 CARIBOU DR STE 150, FORT COLLINS, CO 80525-4373
(970) 300-2711
(415) 329-1031
Mailing address
1001A E HARMONY RD STE 425, FORT COLLINS, CO 80525-3354
(970) 300-2711
(970) 237-5484
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
42831
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27675530
—
CO
Enumeration date
04/19/2007
Last updated
12/03/2018
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