Individual
DR. LENA PASTERNAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2625 W PUEBLO BLVD, PUEBLO, CO 81004-3816
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DR.0062434
CO
207R00000X
Internal Medicine Physician
TL.0006407
CO
390200000X
Student in an Organized Health Care Education/Training Program
TL.0006407
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029299
KAISER COMMERCIAL NUMBER
CO
05
—
9000165621
—
CO
Enumeration date
03/16/2017
Last updated
10/07/2021
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