Organization
LAURA K. POMERENKE, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA KAY POMERENKE M.D. (PRESIDENT)
(719) 471-3930
Entity
Organization
Contact information
Practice address
3030 N CIRCLE DR, SUITE 216, COLORADO SPRINGS, CO 80909-1177
(719) 471-3930
(719) 471-3543
Mailing address
3030 N CIRCLE DR, SUITE 216, COLORADO SPRINGS, CO 80909-1177
(719) 471-3930
(719) 471-3543
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34528
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38270
BLUE CROSS BLUE SHIELD
—
05
—
65156340
—
CO
Enumeration date
04/20/2006
Last updated
08/26/2008
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