Clark, Laura E

Clark, Laura E is an individual health care provider with primary practice located at 10350 E Dakota Ave , Denver CO 80247-1314. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Clark, Laura E can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
10350 E Dakota Ave Denver CO 80247-1314
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 37350 Colorado
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X DR.0037350 Colorado

Profile Details

NPI number 1992832877
LBN Legal business name Clark, Laura E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Jun 23rd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992832877 NPPES
Colorado MEDICAID 01373505
Colorado Other 012079

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