MEDICARE: DR. ELIZABETH S LESSMAN DNP, PMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN2332336	MA
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APN.0997966-NP	CO
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	RXN.0106948-NP	CO

General Provider Information

NPI Number	:	1124641717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELIZABETH S LESSMAN DNP, PMHNP-BC

Provider Business Mailing Address
First Line	:	1201 5TH ST STE 150
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80204-2005
Country	:	US
Telephone Number	:	303-615-9999
Fax Number	:	720-778-5850

Provider Business Practice Location Address
First Line	:	1201 5TH ST STE 150
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80204-2005
Country	:	US
Telephone Number	:	303-615-9999
Fax Number	:	720-778-5850

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2020
Last Update Date	:	03/07/2023

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