Healthcare Provider Details

I. General information

NPI: 1861524738
Provider Name (Legal Business Name): JAN L LAPETINO REGISTERED MIDWIFE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1777 S. BELLAIRE ST SUITE 305
DENVER CO
80222
US

IV. Provider business mailing address

1060 S. PENNSYLVANIA STREET
DENVER CO
80209
US

V. Phone/Fax

Practice location:
  • Phone: 303-778-7852
  • Fax: 303-733-2342
Mailing address:
  • Phone: 303-698-0215
  • Fax: 303-733-2342

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175M00000X
TaxonomyLay Midwife
License Number17
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: