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NPI Code Detail

MEDICARE: LAURA L FELDMAN,D.O., P.C.

MEDICARE: LAURA L FELDMAN,D.O., P.C.
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
1207Q00000XFamily Medicine Physician26040CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942470265
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAURA L FELDMAN,D.O., P.C.
Provider Business Mailing Address
First Line : 630 SOUTHPOINTE CT
Second Line : SUITE 104
City : COLORADO SPRINGS
State : CO
Zip : 80906-3896
Country : US
Telephone Number : 719-955-9060
Fax Number : 719-955-2854
Provider Business Practice Location Address
First Line : 630 SOUTHPOINTE CT
Second Line : SUITE 104
City : COLORADO SPRINGS
State : CO
Zip : 80906-3896
Country : US
Telephone Number : 719-955-9060
Fax Number : 719-955-2854
Authorized Official
Title or Position : OWNER
Name : DR. LAURA L FELDMAN
Credential : D.O.
Telephone Number : 719-955-9060
Provider Enumeration Date : 03/03/2008
Last Update Date : 09/01/2016

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1003842717 — LAURA L FELDMAN DO
Practice Location Address:
630 SOUTHPOINTE CT , SUITE 104
COLORADO SPRINGS, CO
80906-3896
Practice Phone: 719-955-9060
Practice Fax: 719-955-2854
1609383439 — KYLE TUCKER
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COLORADO SPRINGS, CO
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1851897623 — JAMIE LYNN OCANNA RBT
Practice Location Address:
630 SOUTHPOINTE CT
COLORADO SPRINGS, CO
80906-3896
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Practice Fax:
1881259224 — RENAE LYNN WISE PMHNP-BC
Practice Location Address:
630 SOUTHPOINTE CT
COLORADO SPRINGS, CO
80906-3896
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1437844909 — KIRK STONER C-APN, PMHNP-BC
Practice Location Address:
630 SOUTHPOINTE CT
COLORADO SPRINGS, CO
80906-3896
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1790651990 — LEELYNN WEBB
Practice Location Address:
630 SOUTHPOINTE CT
COLORADO SPRINGS, CO
80906-3896
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Practice Fax:

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