Provider Demographics
NPI:1558522516
Name:CARSON, LAURA DOBBS (MD)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:DOBBS
Last Name:CARSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:ANNE
Other - Last Name:DOBBS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17230 JACKSON CREEK PKWY MONUMENT PEDIATRICS
Mailing Address - Street 2:SUITE #260
Mailing Address - City:MONUMENT
Mailing Address - State:CO
Mailing Address - Zip Code:80132
Mailing Address - Country:US
Mailing Address - Phone:719-488-6998
Mailing Address - Fax:719-488-8270
Practice Address - Street 1:17230 JACKSON CREEK PKWY MONUMENT PEDIATRICS
Practice Address - Street 2:SUITE #260
Practice Address - City:MONUMENT
Practice Address - State:CO
Practice Address - Zip Code:80132
Practice Address - Country:US
Practice Address - Phone:719-488-6998
Practice Address - Fax:719-488-8270
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-23
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.51321208000000X
VA0101245005208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics