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NPI Code Detail

MEDICARE: DR. KRISTA LAVONAS M.D.

MEDICARE:  DR. KRISTA  LAVONAS  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
1208000000XPediatrics Physician2002-00392NC

Other Identifiers

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

General Provider Information

NPI Number : 1912979238
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KRISTA LAVONAS M.D.
Provider Business Mailing Address
First Line : 3800 YORK ST
Second Line :
City : DENVER
State : CO
Zip : 80205-3540
Country : US
Telephone Number : 303-296-1767
Fax Number : 303-396-2484
Provider Business Practice Location Address
First Line : 3800 YORK ST
Second Line :
City : DENVER
State : CO
Zip : 80205-3540
Country : US
Telephone Number : 303-296-1767
Fax Number : 303-396-2484
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2006
Last Update Date : 09/05/2025

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Directions to “ DR. KRISTA LAVONAS M.D.” Practice Location

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