Individual
DR. SHANNON DALE ARCHABAL LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14701 E EXPOSITION AVE, AURORA, CO 80012-2623
(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
DR.0059858
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029305
KAISER COMMERCIAL NUMBER
CO
05
—
9000131535
—
CO
Enumeration date
04/12/2016
Last updated
12/15/2021
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