Provider Demographics
NPI:1578161246
Name:DURANGO OSTEOPATHIC CARE, PC
Entity Type:Organization
Organization Name:DURANGO OSTEOPATHIC CARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EMMY
Authorized Official - Middle Name:WASHBURN
Authorized Official - Last Name:LAWRASON-KOBOBEL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:970-828-6500
Mailing Address - Street 1:835 E 2ND AVE STE 206
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-5474
Mailing Address - Country:US
Mailing Address - Phone:970-828-6500
Mailing Address - Fax:970-480-9991
Practice Address - Street 1:835 E 2ND AVE STE 206
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-5474
Practice Address - Country:US
Practice Address - Phone:970-828-6500
Practice Address - Fax:970-480-9991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-14
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMMGroup - Single Specialty