Individual
LELAND FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13123 E 16TH AVE, THE CHILDRENS HOSPITAL, AURORA, CO 80045-7106
(720) 777-1234
(720) 777-7283
Mailing address
PO BOX 110429, UNIVERSITY PHYSICIANSINC, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
20437
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01204379
—
CO
Enumeration date
10/17/2006
Last updated
04/18/2014
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