Individual
DR. SUZANNE RENE LESAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 RUSH DR, SALIDA, CO 81201-9627
(719) 530-2000
(719) 530-2001
Mailing address
1000 RUSH DR, SALIDA, CO 81201-9627
(719) 530-2000
(719) 530-2001
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
D0058093
MD
2084N0400X
Neurology Physician
Primary
53259
CO
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
53259
CO
Other
Enumeration date
06/19/2006
Last updated
05/25/2021
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