Laitos, Mark

Laitos, Mark is an individual health care provider with primary practice located at 1309 Sunset St , Longmont CO 80501-3215. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Laitos, Mark can be contacted via phone (303) 772-5578.

Contact Information

Primary practice address
1309 Sunset St Longmont CO 80501-3215
Phone: (303) 772-5578
Fax: (303) 772-8207
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 24883 Colorado

Profile Details

NPI number 1992707129
LBN Legal business name Laitos, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Apr 25th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992707129 NPPES
Colorado MEDICAID 01248830

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