Provider Demographics
NPI:1831173384
Name:LEMMON, JANET A (PHD)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:A
Last Name:LEMMON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 928
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-0928
Mailing Address - Country:US
Mailing Address - Phone:303-443-3557
Mailing Address - Fax:303-386-4661
Practice Address - Street 1:1120 W SOUTH BOULDER RD STE 201D
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-8952
Practice Address - Country:US
Practice Address - Phone:303-443-3557
Practice Address - Fax:303-386-4661
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-29
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1066103TC0700X, 103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC80686Medicare PIN