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NPI Code Detail

MEDICARE: DR. SHANNON B LANSFORD DNP

MEDICARE:  DR. SHANNON B LANSFORD  DNP
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPN.1000223-NPCO
2163W00000XRegistered NurseRN.1653994CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639802143
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHANNON B LANSFORD DNP
Provider Business Mailing Address
First Line : 8275 DIORITE DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80938-9609
Country : US
Telephone Number : 360-990-5604
Fax Number : 877-805-7372
Provider Business Practice Location Address
First Line : 1923 W COLORADO AVE
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80904-3838
Country : US
Telephone Number : 303-600-8563
Fax Number : 877-805-7372
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2022
Last Update Date : 12/29/2025

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Directions to “ DR. SHANNON B LANSFORD DNP” Practice Location

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