Provider Demographics
NPI:1346481058
Name:UNDERHILL, LAURA (DC)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:UNDERHILL
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 1:7120 E HAMPDEN AVE
Mailing Address - Street 2:STE. B
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-3048
Mailing Address - Country:US
Mailing Address - Phone:303-507-8815
Mailing Address - Fax:
Practice Address - Street 1:7120 E HAMPDEN AVE
Practice Address - Street 2:STE. B
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-3048
Practice Address - Country:US
Practice Address - Phone:303-507-8815
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-11
Last Update Date:2009-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR-4344111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor