Provider Demographics
NPI:1902104433
Name:BECHTEL, LAURA K (PHD, DABCC)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:K
Last Name:BECHTEL
Suffix:
Gender:F
Credentials:PHD, DABCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 OSAGE
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-3585
Mailing Address - Country:US
Mailing Address - Phone:347-344-7080
Mailing Address - Fax:
Practice Address - Street 1:4720 FORGE RD
Practice Address - Street 2:SUITE 108
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127
Practice Address - Country:US
Practice Address - Phone:347-344-7080
Practice Address - Fax:719-593-1625
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-08
Last Update Date:2019-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYBECHL2247ZC0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physician