Individual
LAURA GALLAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(719) 526-7000
Mailing address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(719) 526-7000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NO12047100
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
0993023
CO
Other
Enumeration date
06/11/2008
Last updated
09/17/2019
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