Individual
LESLEY ERIN MOAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2101 KEN PRATT BLVD STE 200, LONGMONT, CO 80501-6568
(303) 649-3500
(303) 649-3501
Mailing address
PO BOX 800022, KANSAS CITY, MO 64180-0022
(800) 953-0104
(303) 765-6670
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
178308
CO
363LF0000X
Family Nurse Practitioner
Primary
APN.0990260-NP
CO
Other
Enumeration date
02/14/2012
Last updated
09/30/2025
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