Provider Demographics
NPI:1295417327
Name:LANI, KATHERINE (CPE, COZ, COS)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:LANI
Suffix:
Gender:F
Credentials:CPE, COZ, COS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6000 E EVANS AVE STE 2-400
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-5418
Mailing Address - Country:US
Mailing Address - Phone:303-946-9550
Mailing Address - Fax:
Practice Address - Street 1:6000 E EVANS AVE STE 2-400
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-5418
Practice Address - Country:US
Practice Address - Phone:303-946-9550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-07
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCOZ.0703872174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist