Healthcare Provider Details

I. General information

NPI: 1477519296
Provider Name (Legal Business Name): LAURA ANNE-MARIE ZIEGLER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAURA ANNE-MARIE DOGARU MD

II. Dates (important events)

Enumeration Date: 04/21/2006
Last Update Date: 02/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 S UNION BLVD STE 310
COLORADO SPRINGS CO
80910-3113
US

IV. Provider business mailing address

8890 N UNION BLVD STE 160
COLORADO SPRINGS CO
80920-7799
US

V. Phone/Fax

Practice location:
  • Phone: 719-365-6363
  • Fax: 719-365-5801
Mailing address:
  • Phone: 719-365-9950
  • Fax: 719-365-9969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number48336
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number48336
License Number StateMN
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDR-46987
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: