Individual
DR. ELEANOR R JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
200 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
53312
CO
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
DR0053312
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024277
KAISER COMMERCIAL NUMBER
CO
05
—
14723531
—
CO
Enumeration date
04/30/2009
Last updated
04/22/2022
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