Provider Demographics
NPI:1245458264
Name:LAWRASON-KOBOBEL, EMMY WASHBURN (DO)
Entity type:Individual
Prefix:
First Name:EMMY
Middle Name:WASHBURN
Last Name:LAWRASON-KOBOBEL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORDO157442204D00000X
CO47700204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM