Healthcare Provider Details

I. General information

NPI: 1598811275
Provider Name (Legal Business Name): MEREDITH A. LANN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 09/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

660 BANNOCK STREET DENVER OFFICE OF THE MEDICAL EXAMINER/CORONER
DENVER CO
80204-4506
US

IV. Provider business mailing address

660 BANNOCK ST. DENVER OFFICE OF THE MEDICAL EXAMINER/CORONER
DENVER CO
80204-4506
US

V. Phone/Fax

Practice location:
  • Phone: 303-436-7711
  • Fax: 303-436-7709
Mailing address:
  • Phone: 303-436-7711
  • Fax: 303-436-7709

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZF0201X
TaxonomyForensic Pathology Physician
License Number7178
License Number StateAK
# 2
Primary TaxonomyN
Taxonomy Code207ZF0201X
TaxonomyForensic Pathology Physician
License Number47623
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code207ZF0201X
TaxonomyForensic Pathology Physician
License NumberN5178
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: