Individual
MS. MICHELLE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21000 LACKLAND PL, DENVER, CO 80249-8530
(720) 343-2350
Mailing address
18590 E 19TH ST STE 200, AURORA, CO 80011
(720) 434-1790
(866) 872-8012
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
04V250
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12783862
—
CO
05
—
1730628710
—
CO
Enumeration date
02/23/2017
Last updated
05/24/2021
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