Individual
MARIANNE N LANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10065 E HARVARD AVE, DENVER, CO 80231-5968
(303) 850-5876
Mailing address
775 CORONADO DR, SEDALIA, CO 80135-8304
(303) 663-2205
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
104410
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008501
KAISER-COMMERCIAL NUMBER
—
Enumeration date
04/19/2007
Last updated
07/08/2007
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