Individual
LACEY LESLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 S HAVANA ST, AURORA, CO 80014-1618
(303) 338-4500
Mailing address
2500 S HAVANA ST, AURORA, CO 80014-1618
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
0203889
CO
Other
Enumeration date
07/06/2017
Last updated
07/06/2017
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