Organization
LAURAELIZABETH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA E BAUKOL M.A. CCC-SLP (PRESIDENT)
(317) 250-6674
Entity
Organization
Contact information
Practice address
3165 INGALLS ST, WHEAT RIDGE, CO 80214-8146
(317) 250-6674
Mailing address
3165 INGALLS ST, WHEAT RIDGE, CO 80214-8146
(317) 250-6674
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000044
CO
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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