Provider Demographics
NPI:1053208678
Name:LESAGE, CHARLOTTE LYNN (COMS)
Entity type:Individual
Prefix:MS
First Name:CHARLOTTE
Middle Name:LYNN
Last Name:LESAGE
Suffix:
Gender:F
Credentials:COMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6977 W LOUISIANA AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80232-5505
Mailing Address - Country:US
Mailing Address - Phone:720-472-2986
Mailing Address - Fax:
Practice Address - Street 1:6977 W LOUISIANA AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80232-5505
Practice Address - Country:US
Practice Address - Phone:720-472-2986
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225CX0006XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorOrientation and Mobility Training Provider