Provider Demographics
NPI:1235743253
Name:LANIGAN, BROOKE LAWRENCE (PSYD)
Entity type:Individual
Prefix:DR
First Name:BROOKE
Middle Name:LAWRENCE
Last Name:LANIGAN
Suffix:
Gender:
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1660 S ALBION ST STE 602
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-4044
Mailing Address - Country:US
Mailing Address - Phone:720-815-6659
Mailing Address - Fax:
Practice Address - Street 1:1780 S BELLAIRE ST STE 270
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-4470
Practice Address - Country:US
Practice Address - Phone:720-815-6659
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-08
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSYC.00015495103TC0700X
COPSY.0006568103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical