| Doctor Name: | LAURA C O'CONNELL |
| NPI Number: | 1073917845 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | APN0991338-NP |
| Business Practice Address: | 28000 Meadow Drive Suite 210 Evergreen, CO - 80439 |
| Business Phone Number: | 3036798500 |
| Business Fax Number: | 3036798505 |
| Mailing Address: | 28000 Meadow Dr., Ste 210 EVERGREEN |
| State: | CO |
| Postal Code: | 90439 |
| Phone Number: | 3036798500 |
| Fax Number: | 3036798505 |
| NPI Enumeration Date: | 10/22/2014 |
| NPI Last Update Date: | 10/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | APN0991338-NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |