MEDICARE: LARA L RIEGLER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080P0207X	Pediatric Hematology & Oncology Physician	DR.0073847	CO

General Provider Information

NPI Number	:	1710121488
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LARA L RIEGLER MD

Provider Business Mailing Address
First Line	:	2055 N HIGH ST STE 340
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80205-5545
Country	:	US
Telephone Number	:	303-832-2344
Fax Number	:	303-832-3721

Provider Business Practice Location Address
First Line	:	2055 N HIGH ST STE 340
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80205-5545
Country	:	US
Telephone Number	:	303-832-2344
Fax Number	:	303-832-3721

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2009
Last Update Date	:	08/20/2024

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Directions to “ LARA L RIEGLER MD” Practice Location

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