Provider Demographics
NPI:1477597854
Name:STRUBEL-LAGAN, SUZANNE L (MD)
Entity Type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:L
Last Name:STRUBEL-LAGAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:4900 S MONACO ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3486
Mailing Address - Country:US
Mailing Address - Phone:303-320-8499
Mailing Address - Fax:303-320-8620
Practice Address - Street 1:4500 E 9TH AVE
Practice Address - Street 2:#470
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-3912
Practice Address - Country:US
Practice Address - Phone:303-320-8499
Practice Address - Fax:303-320-8620
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO42565207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO40381846Medicaid
COP00629585Medicare PIN
KS201077060AMedicare PIN
COC810250Medicare PIN
CO803411Medicare PIN