Latashanna Lavallais-Madison, MA,LE

NPI #1235706607 in Denver, Colorado

Provider Information

NPI Number: 1235706607
Entity Type: Individual
Name: Latashanna Lavallais-Madison, MA,LE
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Prevention Professional
Credential: MA,LE
Enumeration Date: Jun 4, 2021
Last Updated: Jun 4, 2021

Practice Location

Address: 3955 E EXPOSITION AVE STE 320
City: Denver
State: Colorado
ZIP Code: 80209-5033
Phone: (303) 777-1151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prevention Professional	405300000X	Primary

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