Provider Demographics
NPI:1114937455
Name:DUKE, LAURA BETH (DC)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:BETH
Last Name:DUKE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1280 CENTAUR VILLAGE DR
Mailing Address - Street 2:SUITE 8
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-3175
Mailing Address - Country:US
Mailing Address - Phone:303-926-1575
Mailing Address - Fax:303-666-8927
Practice Address - Street 1:1280 CENTAUR VILLAGE DR
Practice Address - Street 2:SUITE 8
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-3175
Practice Address - Country:US
Practice Address - Phone:303-926-1575
Practice Address - Fax:303-666-8927
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR-6039111N00000X
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor