Healthcare Provider Details

I. General information

NPI: 1184558066
Provider Name (Legal Business Name): LORENZO RILEY COMBS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6700 E SPEEDWAY BLVD STE 401
TUCSON AZ
85710-1220
US

IV. Provider business mailing address

2625 S CLARKSON ST
DENVER CO
80210-5803
US

V. Phone/Fax

Practice location:
  • Phone: 719-341-1150
  • Fax:
Mailing address:
  • Phone: 719-341-1150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: