Individual
DR. NICOLE SUZANNE WELLENSIEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1861 WADSWORTH BLVD, LAKEWOOD, CO 80214-5225
(303) 237-5401
(303) 237-9638
Mailing address
1861 WADSWORTH BLVD, LAKEWOOD, CO 80214-5225
(303) 237-5401
(303) 237-9638
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
CO2447
CO
Other
Enumeration date
06/05/2007
Last updated
01/11/2022
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