Provider Demographics
NPI:1952165714
Name:SCHMITZ, LAURA LEGARE
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:LEGARE
Last Name:SCHMITZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:560 S DAHLIA CIR APT G-201
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CO
Mailing Address - Zip Code:80246-3312
Mailing Address - Country:US
Mailing Address - Phone:912-429-9094
Mailing Address - Fax:
Practice Address - Street 1:17901 E GRAND AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-2000
Practice Address - Country:US
Practice Address - Phone:912-429-9094
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO24383307235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist