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NPI Code Detail

MEDICARE: LAUREL SZELIGA RD

MEDICARE:   LAUREL  SZELIGA  RD
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
1133V00000XRegistered Dietitian1017246

General Provider Information

NPI Number : 1861054660
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREL SZELIGA RD
Provider Business Mailing Address
First Line : 2038 JASMINE ST
Second Line :
City : DENVER
State : CO
Zip : 80207-3916
Country : US
Telephone Number : 303-513-8689
Fax Number :
Provider Business Practice Location Address
First Line : 2038 JASMINE ST
Second Line :
City : DENVER
State : CO
Zip : 80207-3916
Country : US
Telephone Number : 303-513-8689
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2019
Last Update Date : 07/01/2019

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Directions to “ LAUREL SZELIGA RD” Practice Location

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