Provider Demographics
NPI:1770731770
Name:ALLEN, LAWRENCE STEWART (EDD)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:STEWART
Last Name:ALLEN
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1777 S HARRISON STREET
Mailing Address - Street 2:SUITE 800
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210
Mailing Address - Country:US
Mailing Address - Phone:303-300-6564
Mailing Address - Fax:303-756-2872
Practice Address - Street 1:1777 S HARRISON STREET
Practice Address - Street 2:SUITE 800
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210
Practice Address - Country:US
Practice Address - Phone:303-300-6564
Practice Address - Fax:303-756-2872
Is Sole Proprietor?:No
Enumeration Date:2008-09-03
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO537103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist