Provider Demographics
NPI:1700240439
Name:KOLAR, LINDSEY RUTH (MD)
Entity Type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:RUTH
Last Name:KOLAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 CLAYTON LN
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-5675
Mailing Address - Country:US
Mailing Address - Phone:720-704-1499
Mailing Address - Fax:
Practice Address - Street 1:110 CLAYTON LN
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-5675
Practice Address - Country:US
Practice Address - Phone:720-704-1499
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-08
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO390200000X
CODR.0062545207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO028976OtherKAISER COMMERCIAL NUMBER
CO9000132251Medicaid