Individual
MS. BRIDGET MARIE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
777 BANNOCK STREET, DAVIS PAVILLION, DENVER, CO 80204-8020
(303) 436-6000
Mailing address
777 BANNOCK STREET, DAVIS PAVILLION, DENVER, CO 80204
(303) 436-6000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA059528
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA059528
PA LICENSE
PA
Enumeration date
01/11/2018
Last updated
03/03/2021
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