DANIEL J LASZLO MD

Allergy and Immunology

Fort Collins, Colorado

Provider NPI: 1881677003

Provider Information:
 DANIEL J LASZLO MD


Practice Location:
608 E HARMONY RD SUITE 101 FORT COLLINS, CO 80525 US
Tel: 970-204-9069  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology	CO	27585
N	207K00000X	Physicians Allergy & Immunology	NE	20303

Other Provider Identifiers:

Issuer	Number	State	Type
	806900600	ID	05
ANTHEM BCBS	LAA1088	CO	01
	01275858	CO	05
	110248600	WY	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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