Individual
LESLIE M PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
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
Primary
44120
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01071599
—
CO
01
—
020136
KAISER COMMERCIAL NUMBER
CO
01
—
1215981634
NPI GROUP #
CO
01
—
1447444807
NPI
CO
01
—
841365302046
RKY MTN HMO
CO
01
—
84136530249
PACIFICARE
CO
01
—
C103008
MEDICARE GROUP #
CO
01
—
PE44120
ANTHEM BLUE CROSS
CO
Enumeration date
08/29/2007
Last updated
06/03/2021
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