Healthcare Provider Details

I. General information

NPI: 1336760016
Provider Name (Legal Business Name): ANNA MARIE ZANOT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2020
Last Update Date: 01/09/2025
Certification Date: 01/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1140 W SOUTH BOULDER RD STE 202
LAFAYETTE CO
80026-8910
US

IV. Provider business mailing address

1140 W SOUTH BOULDER RD STE 202
LAFAYETTE CO
80026-8910
US

V. Phone/Fax

Practice location:
  • Phone: 303-604-1444
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License NumberDR.0073064
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code207NS0135X
TaxonomyProcedural Dermatology Physician
License NumberDR.0073064
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberDR.0073064
License Number StateCO

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: