Individual
KIRA MIYOKO LEBSACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-NP
Contact information
Practice address
10900 W 44TH AVE UNIT 200, WHEAT RIDGE, CO 80033-2742
(303) 993-1330
(303) 647-3647
Mailing address
10900 W 44TH AVE UNIT 200, WHEAT RIDGE, CO 80033-2742
(303) 993-1330
(303) 647-3647
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.0199048
CO
363L00000X
Nurse Practitioner
APN.0996961-NP
CO
363LA2100X
Acute Care Nurse Practitioner
APN.0996961-NP
CO
363LA2200X
Adult Health Nurse Practitioner
Primary
APN.0996961-NP
CO
Other
Enumeration date
09/28/2021
Last updated
07/26/2022
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