Healthcare Provider Details

I. General information

NPI: 1932284684
Provider Name (Legal Business Name): SARAH ANNE LACEY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH LACEY PILAROWSKI MD

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 06/25/2021
Certification Date: 06/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 E 9TH AVE #300
DENVER CO
80220
US

IV. Provider business mailing address

4500 E 9TH AVE #300
DENVER CO
80220
US

V. Phone/Fax

Practice location:
  • Phone: 720-941-1778
  • Fax: 303-756-1408
Mailing address:
  • Phone: 303-756-0101
  • Fax: 303-756-1408

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number39955
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: