Healthcare Provider Details

I. General information

NPI: 1124641717
Provider Name (Legal Business Name): ELIZABETH S LESSMAN DNP, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2020
Last Update Date: 03/07/2023
Certification Date: 10/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 5TH ST STE 150
DENVER CO
80204-2005
US

IV. Provider business mailing address

1201 5TH ST STE 150
DENVER CO
80204-2005
US

V. Phone/Fax

Practice location:
  • Phone: 303-615-9999
  • Fax: 720-778-5850
Mailing address:
  • Phone: 303-615-9999
  • Fax: 720-778-5850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN2332336
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPN.0997966-NP
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRXN.0106948-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: