Provider Demographics
NPI:1598703282
Name:LARONN, MOREL (MD)
Entity Type:Individual
Prefix:DR
First Name:MOREL
Middle Name:
Last Name:LARONN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1610 E GIRARD PL
Mailing Address - Street 2:SUITE F
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-3100
Mailing Address - Country:US
Mailing Address - Phone:303-794-6357
Mailing Address - Fax:303-730-0973
Practice Address - Street 1:1610 E GIRARD PL
Practice Address - Street 2:SUITE F
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-3100
Practice Address - Country:US
Practice Address - Phone:303-794-6357
Practice Address - Fax:303-730-0973
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2013-07-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO30591207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
COE-67170Medicare UPIN
COCU 8628Medicare ID - Type Unspecified