MEDICARE: DR. BROOKE LAWRENCE LANIGAN PSYD

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	103TC0700X	Clinical Psychologist	PSYC.00015495	CO
2	103TC0700X	Clinical Psychologist	PSY.0006568	CO

General Provider Information

NPI Number	:	1235743253
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BROOKE LAWRENCE LANIGAN PSYD

Provider Business Mailing Address
First Line	:	1660 S ALBION ST STE 602
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-4044
Country	:	US
Telephone Number	:	720-815-6659
Fax Number	:

Provider Business Practice Location Address
First Line	:	1780 S BELLAIRE ST STE 270
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-4470
Country	:	US
Telephone Number	:	720-815-6659
Fax Number	:

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

Provider Enumeration Date	:	09/08/2020
Last Update Date	:	04/18/2025

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