Individual
LEO KEN WAKEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 FILLMORE ST, DENVER, CO 80206-4916
(303) 321-3000
Mailing address
2960 E 2ND AVE, SUITE C, DENVER, CO 80206-4924
(303) 322-7507
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
08/10/2007
Last updated
08/10/2007
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