Penny, Lara
Penny, Lara is an individual health care provider with primary practice located at 777 Bannock St # Mc1914 , Denver CO 80204-4597. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Penny, Lara can be contacted via phone (303) 602-4000.Contact Information
Primary practice address
777 Bannock St # Mc1914
Denver CO 80204-4597
Phone: (303) 602-4000
Fax: (303) 602-4064
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 39258 | Colorado |
Profile Details
| NPI number | 1972591196 |
|---|---|
| LBN Legal business name | Penny, Lara |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2005 |
| Last updated | Jul 11th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972591196 | NPPES |
| Colorado | MEDICAID | 22782346 |
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