Individual
MRS. LARA M LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10099 RIDGEGATE PKWY, #280, LONE TREE, CO 80124-5531
(303) 325-2185
(303) 790-0938
Mailing address
4900 S MONACO ST, #210, DENVER, CO 80237-3486
(303) 325-2185
(303) 790-0938
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
38525
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
72702087
—
CO
Enumeration date
10/13/2005
Last updated
01/31/2022
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