Healthcare Provider Details

I. General information

NPI: 1932011376
Provider Name (Legal Business Name): LAURA PEREZ CPFS,QBHA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3050 RICHARD ALLEN CT
DENVER CO
80205-4965
US

IV. Provider business mailing address

3050 RICHARD ALLEN CT
DENVER CO
80205-4965
US

V. Phone/Fax

Practice location:
  • Phone: 720-210-2558
  • Fax:
Mailing address:
  • Phone: 720-210-2558
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: