Provider Demographics
NPI:1669638854
Name:AUBRY, PIERRE-LUC
Entity Type:Individual
Prefix:DR
First Name:PIERRE-LUC
Middle Name:
Last Name:AUBRY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 W 6TH AVENUE
Mailing Address - Street 2:WELLINGTON E. WEBB CENTER FOR PRIMARY CARE/DEPT OF DENT
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204
Mailing Address - Country:US
Mailing Address - Phone:303-602-8219
Mailing Address - Fax:303-602-8206
Practice Address - Street 1:301 W 6TH AVENUE
Practice Address - Street 2:WELLINGTON E. WEBB CENTER FOR PRIMARY CARE/DEPT OF DENT
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204
Practice Address - Country:US
Practice Address - Phone:303-602-8219
Practice Address - Fax:303-602-8206
Is Sole Proprietor?:No
Enumeration Date:2008-08-06
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program