NPI 1144214016

Diane Lucy Kallgren, MD

Practitioner Dermatology Physician Boulder, CO

Practice location

Address: 3434 47th St #200, Boulder, CO 80301-1880
Phone: (303) 444-8100
Fax: (303) 444-8113

Registered specialties (3)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 33197 (CO)

Other Dermatology providers in Colorado →

Specialist

Other Service Providers Taxonomy 174400000X Licence 33197 (CO)

Other Specialist providers in Colorado →

Dermatopathology Physician

Allopathic & Osteopathic Physicians Taxonomy 207ND0900X Licence 33197 (CO)

Registry record

NPI: 1144214016
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Sep 2005
Record last updated: 27 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.