Provider Demographics
NPI:1841262409
Name:ROGERS, SUZANNE LAWRENCE (DO)
Entity type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:LAWRENCE
Last Name:ROGERS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MS
Other - First Name:SUZANNE
Other - Middle Name:
Other - Last Name:LAWRENCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5657 HIMALAYA
Mailing Address - Street 2:#100
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80115
Mailing Address - Country:US
Mailing Address - Phone:303-699-6200
Mailing Address - Fax:
Practice Address - Street 1:5657 HIMALAYA
Practice Address - Street 2:#100
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80115
Practice Address - Country:US
Practice Address - Phone:303-699-6200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2011-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO40367208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics