Wellformed AI

NPI 1982947891 · live from the CMS NPI Registry

Lauren M. Bonati, M.

Dermatology, MOHS-Micrographic Surgery in Edwards, CO. National Provider Identifier 1982947891, active.

NPI record

NPI1982947891 Type 1 · individual
StatusActive
Primary specialtyDermatology, MOHS-Micrographic Surgery 207ND0101X
Practice location105 Edwards Village Boulevard, G211, Edwards, CO 81632
Practice phone970-926-1800
Mailing addressPo Box 2606, Edwards, CO 81632
EnumeratedMarch 28, 2013
Last updatedSeptember 19, 2018
Sole proprietorNo
Other namesLauren Meshkiv

Taxonomies and licenses

TaxonomyCodeLicense
Dermatology207N00000XDR.0060623 (CO)
Student in an Organized Health Care Education/Training Program390200000X— (FL)
Dermatology, MOHS-Micrographic Surgery primary207ND0101XDR.0060623 (CO)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.