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Individual

LYNN M IWANIEC

Active
Sole proprietor

Provider details

NPI number
Gender
F

Contact information

Practice address
2000 S COLORADO BLVD, ANNEX BLDG, # 420, DENVER, CO 80222-7900
(720) 524-1550
(720) 524-1551
Mailing address
2000 S COLORADO BLVD, ANNEX BLDG, # 420, DENVER, CO 80222-7900
(720) 524-1550
(720) 524-1551

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36226
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01362268
CO
Enumeration date
03/28/2006
Last updated
07/08/2007
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