Lazzelle Rogers, Elizabeth Anne

Lazzelle Rogers, Elizabeth Anne is an individual health care provider with primary practice located at 17230 Jackson Creek Pkwy Ste 300 , Monument CO 80132-7306. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Lazzelle Rogers, Elizabeth Anne can be contacted via phone (719) 571-7000.

Contact Information

Primary practice address
17230 Jackson Creek Pkwy Ste 300 Monument CO 80132-7306
Phone: (719) 571-7000
Fax: (719) 571-7059
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 5390 Colorado

Profile Details

NPI number 1063732642
LBN Legal business name Lazzelle Rogers, Elizabeth Anne
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2010
Last updated Jul 11th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063732642 NPPES
Colorado MEDICAID 9000161814

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