Individual
LESLIE SEMERARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2222 N NEVADA AVE STE 5010, COLORADO SPRINGS, CO 80907-6865
(719) 776-6700
(719) 776-6780
Mailing address
2222 N NEVADA AVE STE 5010, COLORADO SPRINGS, CO 80907-6865
(719) 776-6700
(719) 776-6780
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0006960
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/14/2020
Last updated
10/12/2021
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