Individual
DR. LARRY EUGENE VANVLEET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(303) 338-4545
Mailing address
200 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28106
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004358
KAISER COMMERCIAL
CO
05
—
01281062
—
CO
Enumeration date
04/25/2007
Last updated
04/15/2015
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