Individual
DR. LEE W CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25367
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007365
KAISER-COMMERCIAL NUMBER
—
05
—
01253673
—
CO
Enumeration date
02/16/2007
Last updated
06/11/2021
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