Individual
MS. LEISA A BOYKIN WILLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
311 STEELE ST, DENVER, CO 80206-4479
(303) 372-4000
(303) 372-4001
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-4451
(970) 490-4199
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1539
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004704
KAISER-COMMERCIAL NUMBER
—
05
—
16377044
—
CO
Enumeration date
02/16/2007
Last updated
10/25/2024
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