Provider Demographics
NPI:1689818213
Name:HOLT, LALITA MADHAVA (MD)
Entity Type:Individual
Prefix:MRS
First Name:LALITA
Middle Name:MADHAVA
Last Name:HOLT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:LALITA
Other - Middle Name:MADHAVA
Other - Last Name:AKERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3435 S INCA ST APT C
Mailing Address - Street 2:#1009
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80110-3463
Mailing Address - Country:US
Mailing Address - Phone:336-528-4260
Mailing Address - Fax:833-427-1393
Practice Address - Street 1:3435 S INCA ST APT C
Practice Address - Street 2:#1009
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80110-3463
Practice Address - Country:US
Practice Address - Phone:336-528-4260
Practice Address - Fax:833-427-1393
Is Sole Proprietor?:No
Enumeration Date:2009-04-27
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND160052084P0800X
MN663182084P0800X
IL0361507272084P0800X
AZ596262084P0800X
TN603042084P0800X
MDD882742084P0800X
IAMD-466582084P0800X
NC2014013882084P0800X
NV192722084P0800X
WI561-3202084P0800X
WAMD610052122084P0800X
WY12371C2084P0800X
MEMD233772084P0800X
COCDRH.00614792084P0804X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry