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Organization
PEDIATRIC PULMONARY AND SLEEP SPECIALISTS, PLLC
Active
Organization
PEDIATRIC PULMONARY AND SLEEP SPECIALISTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA LICANO (CREDENTIALING MANAGER)
(800) 506-8933
Entity
Organization
Contact information
Practice address
9399 CROWN CREST BLVD STE 350, PARKER, CO 80138-8542
(800) 506-8933
Mailing address
9235 N UNION BLVD STE 150334, COLORADO SPRINGS, CO 80920-7831
(800) 506-8933
(855) 863-6522
Taxonomy
Speciality
Code
Description
License number
State
2080S0012X
Pediatric Sleep Medicine Physician
Primary
—
NULL
2080S0012X
Pediatric Sleep Medicine Physician
Primary
—
—
Other
Enumeration date
02/03/2026
Last updated
02/03/2026
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