Provider Demographics
NPI:1609002922
Name:DWORET, ROCHELLE LOUISE (MD)
Entity type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:LOUISE
Last Name:DWORET
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ROCHELLE
Other - Middle Name:DWORET
Other - Last Name:COHEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1849 S XENIA CT
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-3331
Mailing Address - Country:US
Mailing Address - Phone:303-337-3050
Mailing Address - Fax:303-337-7101
Practice Address - Street 1:7373 W JEFFERSON AVE
Practice Address - Street 2:STE 100
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80235-2038
Practice Address - Country:US
Practice Address - Phone:303-988-5252
Practice Address - Fax:303-988-5632
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-01
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO21363208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics