Provider Demographics
NPI:1508908310
Name:LAHNERT, LAURIE JANE (PT)
Entity Type:Individual
Prefix:
First Name:LAURIE
Middle Name:JANE
Last Name:LAHNERT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7120 E ORCHARD RD STE 110
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80111-1732
Mailing Address - Country:US
Mailing Address - Phone:303-850-7717
Mailing Address - Fax:
Practice Address - Street 1:7120 E ORCHARD RD STE 110
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80111-1732
Practice Address - Country:US
Practice Address - Phone:303-850-7717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2504225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist