Individual
STAECI LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
499 E HAMPDEN AVE STE 200, ENGLEWOOD, CO 80113-2792
(303) 705-2002
(303) 954-4506
Mailing address
499 E HAMPDEN AVE STE 200, ENGLEWOOD, CO 80113-2792
(303) 705-2002
(303) 954-4506
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.0005574
CO
Other
Enumeration date
08/09/2018
Last updated
03/01/2024
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