Individual
MR. WILLIAM TERRANCE LEICHNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
8640 W JEWELL AVE, LAKEWOOD, CO 80232-6624
(303) 425-0300
Mailing address
4851 INDEPENDENCE ST, WHEAT RIDGE, CO 80033-6715
(303) 425-0300
(303) 432-5071
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
81335
CO
Other
Enumeration date
10/05/2009
Last updated
10/05/2009
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