Basic Information
| Provider Information | |||||||||
| NPI: | 1700847209 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LARABEE | ||||||||
| FirstName: | ROBIN | ||||||||
| MiddleName: | MARCUS | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4500 E 9TH AVE | ||||||||
| Address2: | SUITE 740 | ||||||||
| City: | DENVER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802203911 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7209411778 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 4500 E 9TH AVE | ||||||||
| Address2: | SUITE 740 | ||||||||
| City: | DENVER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802203911 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7209411778 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/01/2006 | ||||||||
| LastUpdateDate: | 03/09/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 42585 | CO | Y | Allopathic & Osteopathic Physicians | Pediatrics |
ID Information
| ID | Type | State | Issuer | Description | 42585 | 01 | CO | MEDICAL LICENSE | OTHER | 63934817 | 05 | CO | MEDICAID |