Healthcare Provider Details

I. General information

NPI: 1245124601
Provider Name (Legal Business Name): LIZETTE SANCHEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2025
Last Update Date: 06/09/2025
Certification Date: 06/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1890 N REVERE CT STE 4003
AURORA CO
80045-7464
US

IV. Provider business mailing address

12662 KEARNEY ST
THORNTON CO
80602-4683
US

V. Phone/Fax

Practice location:
  • Phone: 303-724-4940
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: