Individual
MICHAEL G DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
421 ZANG ST, LAKEWOOD, CO 80228-1052
(303) 425-0300
Mailing address
9200 W CROSS DR STE 421, LITTLETON, CO 80123-0760
(303) 432-5115
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0333608
CO
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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