Individual
LARA M KROEPSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
311 MAPLETON AVE, BOULDER, CO 80304-3979
(303) 544-5700
(303) 544-5710
Mailing address
345 MAXWELL AVE, BOULDER, CO 80304-3972
(303) 544-5783
(303) 441-2388
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-3412
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1103169
NCCPA
CO
05
—
12139858
—
CO
Enumeration date
04/03/2012
Last updated
07/03/2012
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