Provider Demographics
NPI:1811189921
Name:LAMBOURNE, PATSY ANNE (MED, OTR)
Entity Type:Individual
Prefix:
First Name:PATSY
Middle Name:ANNE
Last Name:LAMBOURNE
Suffix:
Gender:F
Credentials:MED, OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1855 PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-2325
Mailing Address - Country:US
Mailing Address - Phone:303-926-3849
Mailing Address - Fax:303-604-6573
Practice Address - Street 1:1855 PLAZA DR
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-2325
Practice Address - Country:US
Practice Address - Phone:303-926-3849
Practice Address - Fax:303-604-6573
Is Sole Proprietor?:No
Enumeration Date:2007-08-13
Last Update Date:2007-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AA335372225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist