Healthcare Provider Details

I. General information

NPI: 1013674845
Provider Name (Legal Business Name): MRS. GENEVIEVE RUTH FRANCOEUR-ANDERSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2021
Last Update Date: 01/31/2023
Certification Date: 01/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7220 W JEFFERSON AVE STE 100
LAKEWOOD CO
80235-2015
US

IV. Provider business mailing address

1679 S GARRISON ST
LAKEWOOD CO
80232-6419
US

V. Phone/Fax

Practice location:
  • Phone: 303-225-7673
  • Fax:
Mailing address:
  • Phone: 303-324-8324
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-22-62988
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: