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NPI Code Detail

MEDICARE: MARY LOUISE LANGLOIS MD

MEDICARE: MARY LOUISE LANGLOIS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician31795CO

General Provider Information

NPI Number : 1447433867
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY LOUISE LANGLOIS MD
Provider Business Mailing Address
First Line : 2575 SPRUCE ST
Second Line :
City : BOULDER
State : CO
Zip : 80302-3806
Country : US
Telephone Number : 303-449-3594
Fax Number : 303-449-3112
Provider Business Practice Location Address
First Line : 2575 SPRUCE ST
Second Line :
City : BOULDER
State : CO
Zip : 80302-3806
Country : US
Telephone Number : 303-449-3594
Fax Number : 303-449-3112
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2007
Last Update Date : 12/07/2007

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Directions to “ MARY LOUISE LANGLOIS MD” Practice Location

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