Wertzbaugher, Laurie Lee

Wertzbaugher, Laurie Lee is an sole proprietor health care provider with primary practice located at 172 Justice Center Rd , Canon City CO 81212-9354. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Wertzbaugher, Laurie Lee can be contacted via phone (719) 275-1626.

Contact Information

Primary practice address
172 Justice Center Rd Canon City CO 81212-9354
Phone: (719) 275-1626
Fax: (719) 275-4328
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X 70941 Colorado

Profile Details

NPI number 1568629301
LBN Legal business name Wertzbaugher, Laurie Lee
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2008
Last updated May 20th, 2008 - about 17 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 1568629301 NPPES
Colorado MEDICAID 07709413

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