Organization
LEGACY INTEGRATED HEALTH LLC
Active
Parent organization
LEGACY INTEGRATED HEALTH LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEGACY INTEGRATED HEALTH LLC
Authorized official
DEMETRA SERIKI APRN (PROVIDER/ADMINISTRATOR)
(719) 649-9345
Entity
Organization
Contact information
Practice address
3585 VAN TEYLINGEN DR STE G, COLORADO SPRINGS, CO 80917-4872
(719) 649-9345
Mailing address
3585 VAN TEYLINGEN DR STE G, COLORADO SPRINGS, CO 80917-4872
(719) 649-9345
Taxonomy
Speciality
Code
Description
License number
State
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
363L00000X
Nurse Practitioner
—
—
363LW0102X
Women's Health Nurse Practitioner
Primary
—
—
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
—
Other
Enumeration date
07/31/2026
Last updated
07/31/2026
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