Provider Demographics
NPI:1710260484
Name:KRONER, LIA M (BS)
Entity Type:Individual
Prefix:MRS
First Name:LIA
Middle Name:M
Last Name:KRONER
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19028 LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-9381
Mailing Address - Country:US
Mailing Address - Phone:303-805-2135
Mailing Address - Fax:303-805-4647
Practice Address - Street 1:19028 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-9381
Practice Address - Country:US
Practice Address - Phone:303-805-2135
Practice Address - Fax:303-805-4647
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-20
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO14291183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist