Healthcare Provider Details

I. General information

NPI: 1497664577
Provider Name (Legal Business Name): LORISA ROSE RAMADAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11275 HIGHLINE DR
NORTHGLENN CO
80233-3076
US

IV. Provider business mailing address

11275 HIGHLINE DR
NORTHGLENN CO
80233-3076
US

V. Phone/Fax

Practice location:
  • Phone: 303-287-7270
  • Fax:
Mailing address:
  • Phone: 303-987-7270
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: