Provider Demographics
NPI:1740551654
Name:LAVIZZO, AUBREY JOSEPH III (MA)
Entity type:Individual
Prefix:MR
First Name:AUBREY
Middle Name:JOSEPH
Last Name:LAVIZZO
Suffix:III
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:25 E 16TH AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-5166
Mailing Address - Country:US
Mailing Address - Phone:303-297-4067
Mailing Address - Fax:303-764-2109
Practice Address - Street 1:25 E 16TH AVE STE 4
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202-5166
Practice Address - Country:US
Practice Address - Phone:303-297-4067
Practice Address - Fax:303-764-2109
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-24
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)