Provider Demographics
NPI:1811746712
Name:PERRY, ANN LAWLER (MED)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:LAWLER
Last Name:PERRY
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:CATHERINE
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA SPECIAL EDUCATION
Mailing Address - Street 1:125 OPEN MEADOW CT
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CO
Mailing Address - Zip Code:80536-7676
Mailing Address - Country:US
Mailing Address - Phone:970-556-9193
Mailing Address - Fax:
Practice Address - Street 1:150 E 29TH ST STE 215
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-2765
Practice Address - Country:US
Practice Address - Phone:970-556-9193
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-14
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional