Provider Demographics
NPI:1336109792
Name:ISKANDER, LAURICE (MD)
Entity Type:Individual
Prefix:DR
First Name:LAURICE
Middle Name:
Last Name:ISKANDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:730 POTOMAC ST
Mailing Address - Street 2:SUITE 316
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-6703
Mailing Address - Country:US
Mailing Address - Phone:303-340-1959
Mailing Address - Fax:303-364-2428
Practice Address - Street 1:730 POTOMAC ST
Practice Address - Street 2:SUITE 316
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-6703
Practice Address - Country:US
Practice Address - Phone:303-340-1959
Practice Address - Fax:303-364-2428
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-28
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO24149174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist