Individual
LESA ELLEN MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
6250 E. LONG CIR.S, CENTENNIAL, CO 80112
(303) 868-2152
Mailing address
6250 E LONG CIR S, CENTENNIAL, CO 80112-2437
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11732
CO
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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