Individual
DR. KRISTIN L THANAVARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11700 W 2ND PL, SUITE 350, LAKEWOOD, CO 80228-1704
(303) 595-2727
(303) 595-2727
Mailing address
11700 W 2ND PL, SUITE 350, LAKEWOOD, CO 80228-1704
(303) 595-2727
(303) 595-2626
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0053810
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31489273
—
CO
Enumeration date
06/02/2008
Last updated
02/11/2015
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