# PEDIATRIC PULMONARY AND SLEEP SPECIALISTS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235089772
- **Authorized official:** ALICIA LICANO (CREDENTIALING MANAGER)
- **Authorized official phone:** (800) 506-8933

## Contact information

- **Practice address:** 9399 CROWN CREST BLVD STE 350, PARKER, CO 80138-8542
- **Practice address phone:** (800) 506-8933
- **Mailing address:** 9235 N UNION BLVD STE 150334, COLORADO SPRINGS, CO 80920-7831
- **Mailing address phone:** (800) 506-8933
- **Mailing address fax:** (855) 863-6522

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080S0012X | Pediatric Sleep Medicine Physician | — | NULL | Yes |
| 2080S0012X | Pediatric Sleep Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/03/2026
- **Last updated:** 02/03/2026