Individual
ELISE VAN LEUVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10807 NEW ALLEGIANCE DR STE 160, COLORADO SPRINGS, CO 80921-3805
(719) 249-3547
(720) 925-5897
Mailing address
5445 DTC PKWY STE 1130, GREENWOOD VILLAGE, CO 80111-3038
(720) 749-5599
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0007973
CO
Other
Enumeration date
05/01/2022
Last updated
03/07/2024
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