Provider Demographics
NPI:1376873026
Name:LAFEHR, LISA PINET (COTA)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:PINET
Last Name:LAFEHR
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3330 SUNNINGDALE PL
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-2859
Mailing Address - Country:US
Mailing Address - Phone:970-217-6921
Mailing Address - Fax:
Practice Address - Street 1:3330 SUNNINGDALE PL
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-2859
Practice Address - Country:US
Practice Address - Phone:970-217-6921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-31
Last Update Date:2011-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant