Healthcare Provider Details

I. General information

NPI: 1487879466
Provider Name (Legal Business Name): LISA LEA LANARI CT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3520 W OXFORD AVE
DENVER CO
80236-3108
US

IV. Provider business mailing address

3536 S DEPEW ST UNIT 2
DENVER CO
80235-2814
US

V. Phone/Fax

Practice location:
  • Phone: 303-866-7642
  • Fax:
Mailing address:
  • Phone: 720-985-8573
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: