MEDICARE: DR. KRISTEN A. LACHANCE M.D.

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	2085R0202X	Diagnostic Radiology Physician	5627	SD
2	2085R0202X	Diagnostic Radiology Physician	LT-0938	CO
3	2085R0202X	Diagnostic Radiology Physician	043841	CT
4	2085R0202X	Diagnostic Radiology Physician	A63360	CA
5	2085R0202X	Diagnostic Radiology Physician	42952	CO
6	2085R0202X	Diagnostic Radiology Physician	236732	NY
7	2085R0202X	Diagnostic Radiology Physician	25MA08032800	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811099617
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KRISTEN A. LACHANCE M.D.

Provider Business Mailing Address
First Line	:	1633 MEDICAL CENTER POINT
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-1604
Country	:	US
Telephone Number	:	719-667-4139
Fax Number	:	719-473-8843

Provider Business Practice Location Address
First Line	:	1633 MEDICAL CENTER POINT
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-1604
Country	:	US
Telephone Number	:	719-667-4139
Fax Number	:	719-473-8843

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

Provider Enumeration Date	:	09/02/2006
Last Update Date	:	02/16/2024

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Directions to “ DR. KRISTEN A. LACHANCE M.D.” Practice Location

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