Healthcare Provider Details

I. General information

NPI: 1841429503
Provider Name (Legal Business Name): LEANA STROMSTA MAY MOSER DO, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LEANA STROMSTA MAY DO, MPH

II. Dates (important events)

Enumeration Date: 07/02/2009
Last Update Date: 10/09/2020
Certification Date: 10/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13123 E 16TH AVE A036/9251
AURORA CO
80045
US

IV. Provider business mailing address

13123 E 16TH AVE A036/9251
AURORA CO
80045
US

V. Phone/Fax

Practice location:
  • Phone: 303-242-5657
  • Fax: 720-777-7317
Mailing address:
  • Phone: 303-242-5657
  • Fax: 720-777-7317

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number254171
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code2080P0204X
TaxonomyPediatric Emergency Medicine (Pediatrics) Physician
License NumberDR.0055027
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: