Provider Demographics
NPI:1033502992
Name:SPURGEON, LORI A
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:A
Last Name:SPURGEON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:A
Other - Last Name:SPURGEON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LAC
Mailing Address - Street 1:2822 E COLFAX AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-1507
Mailing Address - Country:US
Mailing Address - Phone:303-953-2299
Mailing Address - Fax:303-953-8830
Practice Address - Street 1:2822 E COLFAX AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-1507
Practice Address - Country:US
Practice Address - Phone:039-532-2993
Practice Address - Fax:303-953-8830
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-16
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACD.0001228101YA0400X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health