Healthcare Provider Details

I. General information

NPI: 1700857109
Provider Name (Legal Business Name): NUNTHAPORN LAOPRASERT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2006
Last Update Date: 12/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 RAMPART WAY SUITE 200
DENVER CO
80230-6406
US

IV. Provider business mailing address

14000 E ARAPAHOE RD SUITE 240
CENTENNIAL CO
80112-4043
US

V. Phone/Fax

Practice location:
  • Phone: 720-858-7600
  • Fax: 720-858-7605
Mailing address:
  • Phone: 303-632-3694
  • Fax: 303-632-3692

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number40932
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: