Healthcare Provider Details

I. General information

NPI: 1588398218
Provider Name (Legal Business Name): VICTORIA LEE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2022
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10555 E DARTMOUTH AVE STE 300
AURORA CO
80014-2664
US

IV. Provider business mailing address

3984 S WADSWORTH BLVD APT 207
LAKEWOOD CO
80235-2287
US

V. Phone/Fax

Practice location:
  • Phone: 720-386-2227
  • Fax:
Mailing address:
  • Phone: 719-213-1742
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number0024407
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: