Individual
DR. DIANE M LANESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2955 S BROADWAY, ENGLEWOOD, CO 80113-1526
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30665
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006492
KAISER COMMERCIAL NUMBER
CO
05
—
01306653
—
CO
Enumeration date
02/16/2007
Last updated
07/07/2021
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