Basic Information
Provider Information
NPI: 1538575691
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LAAFF
FirstName: RACHEL
MiddleName: LILLIAN
NamePrefix:  
NameSuffix:  
Credential: N.P.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1735 S PUBLIC RD STE 203
Address2:  
City: LAFAYETTE
State: CO
PostalCode: 800267093
CountryCode: US
TelephoneNumber: 3036653036
FaxNumber: 3036653397
Practice Location
Address1: 1701 W 72ND AVE
Address2:  
City: DENVER
State: CO
PostalCode: 802212721
CountryCode: US
TelephoneNumber: 3036504460
FaxNumber: 7205654128
Other Information
ProviderEnumerationDate: 07/09/2014
LastUpdateDate: 05/18/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/18/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000XRN.1626919CON Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 
363LF0000XAPN.0991269-NPCOY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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