Individual
DR. LARA PENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
777 BANNOCK ST # MC1914, DENVER, CO 80204-4597
(303) 602-4000
(303) 602-4064
Mailing address
777 BANNOCK ST # MC1914, DENVER, CO 80204-4597
(303) 602-4000
(303) 602-4064
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39258
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22782346
—
CO
Enumeration date
10/11/2005
Last updated
07/11/2024
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