Provider Demographics
NPI:1407868243
Name:VAN EGEREN, LANA LYNN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LANA
Middle Name:LYNN
Last Name:VAN EGEREN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7800 E ORCHARD RD
Mailing Address - Street 2:SUITE 340
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2583
Mailing Address - Country:US
Mailing Address - Phone:303-741-4800
Mailing Address - Fax:303-741-2244
Practice Address - Street 1:7800 E ORCHARD RD
Practice Address - Street 2:SUITE 340
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2583
Practice Address - Country:US
Practice Address - Phone:303-741-4800
Practice Address - Fax:303-741-2244
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical