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Individual

LEONARD LOSASSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1421 S POTOMAC ST STE 240, AURORA, CO 80012-4512
(303) 695-2822
(303) 368-2036
Mailing address
1411 S POTOMAC ST STE 230, AURORA, CO 80012-4525
(303) 353-9531
(303) 745-7987

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
20360
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04707048
CO
01
59726059
MEDICAID GROUP NUMBER
CO
01
810212
MEDICARE GROUP NUMBER
CO
Enumeration date
06/01/2006
Last updated
09/24/2021
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