DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LATASHANNA LAVALLAIS-MADISON, MA,LE

Active Sole Proprietor

LATASHANNA LAVALLAIS-MADISON, MA,LE is a 405300000X healthcare provider located in DENVER, Colorado. NPI 1235706607 is currently active in the NPPES registry. Verify at CMS.

405300000X · DENVER, CO

Registration Details

NPI Number
1235706607
Provider Type
Individual
Gender
Female
NPI Issued
Jun 4, 2021 (5.2063595807798 yrs)
Last Updated
Jun 4, 2021
License
COZ.0708525 (CO)
Sole Proprietor
Yes

Practice Information

Address
3955 E EXPOSITION AVE STE 320
DENVER, CO, 802095033
Browse CO providers · Browse ZIP 80209
Phone
3037771151
Primary Specialty
405300000X
405300000X

Other 405300000X Providers in DENVER, CO

Name Credential NPI
ALEXANDRA NADINE HOOD 1386175966
CATHERINE WHALEN LMT 1225563596
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.