Provider Demographics
NPI:1477519296
Name:ZIEGLER, LAURA ANNE-MARIE (MD)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:ANNE-MARIE
Last Name:ZIEGLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:ANNE-MARIE
Other - Last Name:DOGARU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:8890 N UNION BLVD
Mailing Address - Street 2:STE 160
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-7799
Mailing Address - Country:US
Mailing Address - Phone:719-365-9950
Mailing Address - Fax:719-365-9969
Practice Address - Street 1:175 S UNION BLVD
Practice Address - Street 2:STE 310
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80910-3113
Practice Address - Country:US
Practice Address - Phone:719-365-6363
Practice Address - Fax:719-365-5801
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2014-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN48336207Q00000X, 207P00000X
CODR-46987207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO41871243Medicaid
COCO301980Medicaid
COCOA109634Medicare PIN
COCO 301980Medicare PIN
I51055Medicare UPIN
CO41871243Medicaid