Basic Information
Provider Information
NPI: 1710278684
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOWELL
FirstName: LAURA
MiddleName: KRISTIN
NamePrefix: DR.
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 780453
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 191780453
CountryCode: US
TelephoneNumber: 3033067783
FaxNumber: 3033067753
Practice Location
Address1: 7700 S BROADWAY
Address2:  
City: LITTLETON
State: CO
PostalCode: 801222602
CountryCode: US
TelephoneNumber: 3037308900
FaxNumber: 3033067753
Other Information
ProviderEnumerationDate: 04/27/2011
LastUpdateDate: 09/08/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/08/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207V00000X0054901COY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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