Healthcare Provider Details

I. General information

NPI: 1932925112
Provider Name (Legal Business Name): LIZ ARLETTE LAVOIGNET CHI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/03/2024
Last Update Date: 12/03/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3355 HUDSON ST #7214
DENVER CO
80207
US

IV. Provider business mailing address

P.O. BOX 7214
DENVER CO
80207
US

V. Phone/Fax

Practice location:
  • Phone: 720-404-4298
  • Fax:
Mailing address:
  • Phone: 720-404-4298
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number015153
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: