MEDICARE: DR. LAURA A ROKOSZ M.D.

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
1	174400000X	Specialist	33819	CO

General Provider Information

NPI Number	:	1932161437
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAURA A ROKOSZ M.D.

Provider Business Mailing Address
First Line	:	7114 W JEFFERSON AVE
Second Line	:	STE 205
City	:	LAKEWOOD
State	:	CO
Zip	:	80235-2356
Country	:	US
Telephone Number	:	303-531-4660
Fax Number	:	303-531-4659

Provider Business Practice Location Address
First Line	:	7114 W JEFFERSON AVE
Second Line	:	STE 205
City	:	LAKEWOOD
State	:	CO
Zip	:	80235-2356
Country	:	US
Telephone Number	:	303-531-4660
Fax Number	:	303-531-4659

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2006
Last Update Date	:	05/24/2018

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