Provider Demographics
NPI:1316034465
Name:BENSON, LAUREL J (MD)
Entity type:Individual
Prefix:DR
First Name:LAUREL
Middle Name:J
Last Name:BENSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4900 S MONACO ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3486
Mailing Address - Country:US
Mailing Address - Phone:303-861-2663
Mailing Address - Fax:303-861-4741
Practice Address - Street 1:2055 N HIGH ST
Practice Address - Street 2:SUITE 130
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-5503
Practice Address - Country:US
Practice Address - Phone:303-861-2663
Practice Address - Fax:303-861-4741
Is Sole Proprietor?:No
Enumeration Date:2006-10-09
Last Update Date:2022-02-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO32390207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01323906Medicaid
MT1316034465Medicaid
SD1316034465Medicaid
WY1316034465Medicaid
KS100188830DMedicaid
NE10025633000Medicaid
WY102258000Medicaid
WY102258000WYMedicaid
MT1316034465Medicaid
COCOA108127Medicare PIN