Individual
STACEY LORRAINE HENNESY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14300 ORCHARD PKWY, WESTMINSTER, CO 80023-9206
(303) 426-2580
(303) 426-2590
Mailing address
PO BOX 911057, DENVER, CO 80291-1057
(800) 953-0104
(303) 765-6640
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35332
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01353325
—
CO
Enumeration date
09/20/2005
Last updated
11/26/2018
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