Individual
DR. MELISSA LAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
605 PARFET ST, LAKEWOOD, CO 80215-5576
(303) 758-2800
Mailing address
605 PARFET ST, LAKEWOOD, CO 80215-5576
(303) 758-2800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46314
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11651351
—
CO
Enumeration date
04/05/2006
Last updated
06/12/2009
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