Healthcare Provider Details

I. General information

NPI: 1497076236
Provider Name (Legal Business Name): LAURA GAIGE ALBERT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2010
Last Update Date: 02/06/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 BANNOCK ST DEPARTMENT OF PSYCHIATRY
DENVER CO
80204-4507
US

IV. Provider business mailing address

777 BANNOCK ST DEPARTMENT OF PSYCHIATRY
DENVER CO
80204-4507
US

V. Phone/Fax

Practice location:
  • Phone: 303-436-6000
  • Fax:
Mailing address:
  • Phone: 303-436-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084F0202X
TaxonomyForensic Psychiatry Physician
License Number0055399
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number164854
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberDR.0055399
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: