Provider Demographics
NPI:1912003435
Name:CIOTTI, SUZANNE RENEE LAFEX (MD)
Entity Type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:RENEE LAFEX
Last Name:CIOTTI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:SUZANNE
Other - Middle Name:RENEE
Other - Last Name:LAFEX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3600 MAIN AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-4000
Mailing Address - Country:US
Mailing Address - Phone:970-259-7171
Mailing Address - Fax:970-259-7176
Practice Address - Street 1:3600 MAIN AVE
Practice Address - Street 2:SUITE C
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-4000
Practice Address - Country:US
Practice Address - Phone:970-259-7171
Practice Address - Fax:970-259-7176
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO35606207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01356062Medicaid
CO0537968Medicare ID - Type Unspecified
CO01356062Medicaid