Whalio Doctors

NPI 1174924203

Laura Douglas

Practitioner Community Health Worker Pueblo, CO

Practice location

Address
333 Court St, Pueblo, CO 81003-3231
Phone
(719) 994-0769
Mailing address
673 S Bond Dr E, Pueblo West, CO 81007-1576

Registered specialties

Community Health Worker Primary
Other Service Providers Taxonomy 172V00000X Licence 0014506 (CO)

Registry record

NPI
1174924203
Entity type
Individual
Sex (as registered)
Female
NPI issued
8 Sep 2014
Record last updated
8 Sep 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.