Provider Demographics
NPI:1851062020
Name:PAYNE, DEBORAH A (PHD, DABMM, DABCC)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:A
Last Name:PAYNE
Suffix:
Gender:F
Credentials:PHD, DABMM, DABCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2408 S HOLLAND CT
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80227-2230
Mailing Address - Country:US
Mailing Address - Phone:214-801-6319
Mailing Address - Fax:
Practice Address - Street 1:2408 S HOLLAND CT
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80227-2230
Practice Address - Country:US
Practice Address - Phone:214-801-6319
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-27
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPAYND1207ZM0300X
TN000026026207ZP0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory Medicine
No207ZM0300XAllopathic & Osteopathic PhysiciansPathologyMedical Microbiology