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NPI Code Detail

MEDICARE: MRS. LAURIE K ISAACSON RN

MEDICARE: MRS. LAURIE K ISAACSON RN
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
1163WE0003XEmergency Registered Nurse168024CO

General Provider Information

NPI Number : 1497725535
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAURIE K ISAACSON RN
Provider Business Mailing Address
First Line : 15456 JENNA CT
Second Line :
City : PEYTON
State : CO
Zip : 80831-6112
Country : US
Telephone Number : 719-683-9190
Fax Number :
Provider Business Practice Location Address
First Line : 1650 COCHRANE CIR
Second Line :
City : FT CARSON
State : CO
Zip : 80913-4603
Country : US
Telephone Number : 719-526-7964
Fax Number : 719-524-4090
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2006
Last Update Date : 07/08/2007

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