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Individual

DANIEL J LASZLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
608 E HARMONY RD, SUITE 101, FORT COLLINS, CO 80525-3210
(970) 204-9069
(970) 624-3021
Mailing address
1627 E 18TH ST, LOVELAND, CO 80538-4209
(970) 663-0135
(970) 461-1422

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
20303
NE
207K00000X
Allergy & Immunology Physician
Primary
27585
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01275858
CO
05
110248600
WY
05
806900600
ID
01
LAA1088
ANTHEM BCBS
CO
Enumeration date
11/22/2005
Last updated
11/22/2011
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