Provider Demographics
NPI:1861524738
Name:LAPETINO, JAN L (REGISTERED MIDWIFE)
Entity type:Individual
Prefix:
First Name:JAN
Middle Name:L
Last Name:LAPETINO
Suffix:
Gender:F
Credentials:REGISTERED MIDWIFE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1060 S. PENNSYLVANIA STREET
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209
Mailing Address - Country:US
Mailing Address - Phone:303-698-0215
Mailing Address - Fax:303-733-2342
Practice Address - Street 1:1777 S. BELLAIRE ST
Practice Address - Street 2:SUITE 305
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222
Practice Address - Country:US
Practice Address - Phone:303-778-7852
Practice Address - Fax:303-733-2342
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO17175M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay