Kallgren, Diane Lucy

Kallgren, Diane Lucy is an individual health care provider with primary practice located at 3434 47Th St #200, Boulder CO 80301-1880. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Kallgren, Diane Lucy can be contacted via phone (303) 444-8100.

Contact Information

Primary practice address
3434 47Th St #200 Boulder CO 80301-1880
Phone: (303) 444-8100
Fax: (303) 444-8113
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 33197 Colorado
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 33197 Colorado
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 33197 Colorado

Profile Details

NPI number 1144214016
LBN Legal business name Kallgren, Diane Lucy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Aug 27th, 2007 - about 19 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.

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