Individual
HOLLY S LEROUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4803 WARD RD, WHEAT RIDGE, CO 80033-1902
(303) 764-4731
Mailing address
753 W BIRCH CT, LOUISVILLE, CO 80027-1151
(303) 442-5453
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
91142
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004542
KAISER-COMMERCIAL NUMBER
—
Enumeration date
02/16/2007
Last updated
07/08/2007
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