Provider Demographics
NPI:1598432551
Name:LAHN, ALISON (AGACNP)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:LAHN
Suffix:
Gender:F
Credentials:AGACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3525 S EMERSON ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-3997
Mailing Address - Country:US
Mailing Address - Phone:217-299-6838
Mailing Address - Fax:
Practice Address - Street 1:701 E HAMPDEN AVE STE 515
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-3880
Practice Address - Country:US
Practice Address - Phone:303-209-2503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-26
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0996712-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner