Provider Demographics
NPI:1801833371
Name:RILEY-LAZO, KRISTIN PUTNAM (MD)
Entity Type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:PUTNAM
Last Name:RILEY-LAZO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1055 CLERMONT ST
Mailing Address - Street 2:116-D
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-3808
Mailing Address - Country:US
Mailing Address - Phone:303-399-8020
Mailing Address - Fax:303-393-5151
Practice Address - Street 1:1055 CLERMONT ST
Practice Address - Street 2:116-D
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-3808
Practice Address - Country:US
Practice Address - Phone:303-399-8020
Practice Address - Fax:303-393-5151
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO429732084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry