Provider Demographics
NPI:1487270724
Name:LAMAN, SHELLY SHAE
Entity type:Individual
Prefix:
First Name:SHELLY
Middle Name:SHAE
Last Name:LAMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 WILCOX ST APT 2419
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-2570
Mailing Address - Country:US
Mailing Address - Phone:702-417-2074
Mailing Address - Fax:
Practice Address - Street 1:6000 E EVANS AVE STE 1-400
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-5415
Practice Address - Country:US
Practice Address - Phone:720-505-6293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-23
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician