Provider Demographics
NPI:1912160565
Name:WILSON, LAURA K (AUD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:K
Last Name:WILSON
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1930 DENVER WEST DR
Mailing Address - Street 2:APT 711
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-3159
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1930 DENVER WEST DR
Practice Address - Street 2:APT 711
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-3159
Practice Address - Country:US
Practice Address - Phone:303-250-5449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-03
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO535231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist