Healthcare Provider Details

I. General information

NPI: 1023649837
Provider Name (Legal Business Name): LAURA CAROLINE PAPE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2020
Last Update Date: 10/01/2021
Certification Date: 10/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2855 N SPEER BLVD
DENVER CO
80211-4239
US

IV. Provider business mailing address

225 S DOWNING ST
DENVER CO
80209-2432
US

V. Phone/Fax

Practice location:
  • Phone: 720-943-7080
  • Fax: 720-316-7577
Mailing address:
  • Phone: 914-874-3448
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLSW.0009922862
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: