Individual
MR. LENWARDE PAUL BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
2870 S COLORADO BLVD, DENVER, CO 80222-6618
(303) 758-5384
(303) 758-5389
Mailing address
12561 FOREST ST, THORNTON, CO 80241-3071
(303) 457-8355
(303) 457-8355
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9458
CO
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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