Healthcare Provider Details

I. General information

NPI: 1598432551
Provider Name (Legal Business Name): ALISON LAHN AGACNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2021
Last Update Date: 02/02/2023
Certification Date: 02/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 E HAMPDEN AVE STE 515
ENGLEWOOD CO
80113-3880
US

IV. Provider business mailing address

3525 S EMERSON ST UNIT B
ENGLEWOOD CO
80113-3997
US

V. Phone/Fax

Practice location:
  • Phone: 303-209-2503
  • Fax:
Mailing address:
  • Phone: 217-299-6838
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN.0996712-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: