LAURA J HOMER

TELLURIDE, CO
NPI1093728263
Former NameLAURA J LAKE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: CO  6388)
Enumeration Date2006-08-15
Last Update Date2007-07-08
Business Address
Mrs. LAURA J HOMER MPT, OCS
750 WEST PACIFIC AVENUE
TELLURIDE, CO 81435-2228
Phone number: 970-728-8948
Mailing Address
Mrs. LAURA J HOMER MPT, OCS
PO BOX 2228
TELLURIDE, CO 81435-2228
Phone number: 970-728-8948
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