Provider Demographics
NPI:1417296203
Name:DANSO, LAURA WEIR (PA-C)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:WEIR
Last Name:DANSO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4995 E 33RD AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80207-1902
Mailing Address - Country:US
Mailing Address - Phone:303-602-3720
Mailing Address - Fax:303-602-3733
Practice Address - Street 1:4995 E 33RD AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80207-1902
Practice Address - Country:US
Practice Address - Phone:303-602-3720
Practice Address - Fax:303-602-3733
Is Sole Proprietor?:No
Enumeration Date:2013-02-13
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPA.0005765363A00000X
PAMA058206363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant