Provider Demographics
NPI:1164462842
Name:VARNER, LAWRENCE N (DO)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:N
Last Name:VARNER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9890 E POWERS AVE
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-3546
Mailing Address - Country:US
Mailing Address - Phone:303-360-6003
Mailing Address - Fax:303-360-3614
Practice Address - Street 1:14111 E ALAMEDA AVE
Practice Address - Street 2:STE 200
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-2546
Practice Address - Country:US
Practice Address - Phone:303-360-6003
Practice Address - Fax:303-364-3314
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO19328207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01193283Medicaid
CO01193283Medicaid
CO80524Medicare PIN