Individual
ALLISON LUELLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8350 COLORADO BLVD, SUITE 160, FIRESTONE, CO 80504
(303) 689-5160
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14264198-1206
UT
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
59171553
—
CO
Enumeration date
07/19/2012
Last updated
02/11/2026
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