Provider Demographics
NPI:1295197853
Name:LAGGIS, CAROLINE WEST (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:WEST
Last Name:LAGGIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CAROLINE
Other - Middle Name:MAYFIELD
Other - Last Name:WEST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2655 LITTLE BOOKCLIFF DR
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-8801
Mailing Address - Country:US
Mailing Address - Phone:970-242-7273
Mailing Address - Fax:
Practice Address - Street 1:2655 LITTLE BOOKCLIFF DR
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-8801
Practice Address - Country:US
Practice Address - Phone:242-727-3970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-23
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10513568-1205207N00000X
CODR.0063933207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology