Provider Demographics
NPI:1326326414
Name:LALLINGER, MYRIAM MANUELA (MD)
Entity Type:Individual
Prefix:DR
First Name:MYRIAM
Middle Name:MANUELA
Last Name:LALLINGER
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Gender:F
Credentials:MD
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Mailing Address - Street 1:130 RAMPART WAY
Mailing Address - Street 2:STE 300B
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80230-6451
Mailing Address - Country:US
Mailing Address - Phone:720-343-1609
Mailing Address - Fax:720-343-1599
Practice Address - Street 1:9695 S YOSEMITE ST
Practice Address - Street 2:STE 285
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-2888
Practice Address - Country:US
Practice Address - Phone:303-799-8760
Practice Address - Fax:303-799-8767
Is Sole Proprietor?:No
Enumeration Date:2011-07-24
Last Update Date:2017-03-07
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Provider Licenses
StateLicense IDTaxonomies
CODR.0057786207RN0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO545928YVBJMedicare PIN