Individual
DR. LEAH M CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
8383 W ALAMEDA AVE, LAKEWOOD, CO 80226-3007
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125067457
IL
207Q00000X
Family Medicine Physician
Primary
DR.0060299
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028904
KAISER COMMERCIAL NUMBER
CO
05
—
9000165988
—
CO
Enumeration date
06/08/2015
Last updated
05/23/2021
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