Healthcare Provider Details

I. General information

NPI: 1730694407
Provider Name (Legal Business Name): ANNA LEE SCHOMMER BCABA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANYA LEE CLAY

II. Dates (important events)

Enumeration Date: 12/04/2017
Last Update Date: 09/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7220 W JEFFERSON AVE STE 202
LAKEWOOD CO
80235-2023
US

IV. Provider business mailing address

5115 WILHELM DR
COLORADO SPRINGS CO
80911-3146
US

V. Phone/Fax

Practice location:
  • Phone: 303-225-7673
  • Fax: 866-283-0595
Mailing address:
  • Phone: 603-203-1441
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: