Individual
DR. LEE ERNEST KRAUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 AIRPORT RD, RIFLE, CO 81650-8510
(970) 625-1100
Mailing address
501 AIRPORT RD, RIFLE, CO 81650-8510
(970) 625-1100
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
20386
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01210038
—
CO
05
—
1186761-00
—
WY
05
—
363314159-10
—
NE
01
—
39335
NEBRASKA BLUE SHIELD
NE
05
—
7780782
—
SD
Enumeration date
08/05/2006
Last updated
02/14/2020
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