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NPI Code Detail

MEDICARE: LAURIE D CRUZ MD

MEDICARE: LAURIE D CRUZ MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician41491CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1019287OTHERCOKAISER COMMERCIAL NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760488811
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURIE D CRUZ MD
Provider Business Mailing Address
First Line : 10350 E DAKOTA AVE
Second Line :
City : DENVER
State : CO
Zip : 80247-1314
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9285 HEPBURN ST
Second Line :
City : HIGHLANDS RANCH
State : CO
Zip : 80129-2262
Country : US
Telephone Number : 303-338-4545
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2005
Last Update Date : 06/22/2021

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Directions to “ LAURIE D CRUZ MD” Practice Location

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