DR. Diane Lucy Kallgren, M.D.

NPI #1144214016 in Boulder, Colorado

Provider Information

NPI Number: 1144214016
Entity Type: Individual
Name: DR. Diane Lucy Kallgren, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: M.D.
Enumeration Date: Sep 7, 2005
Last Updated: Aug 27, 2007

Practice Location

Address: 3434 47TH ST
Address 2: #200
City: Boulder
State: Colorado
ZIP Code: 80301-1880
Phone: (303) 444-8100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X
Dermatology - Dermatopathology — Dermatopathology	207ND0900X
Dermatology	207N00000X	Primary

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