Healthcare Provider Details

I. General information

NPI: 1366254906
Provider Name (Legal Business Name): REBECCA R LECHMAN FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/21/2025
Last Update Date: 02/17/2025
Certification Date: 02/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3025 S PARKER RD STE 100
AURORA CO
80014-2914
US

IV. Provider business mailing address

13464 E 103RD AVE
COMMERCE CITY CO
80022-9942
US

V. Phone/Fax

Practice location:
  • Phone: 303-481-7030
  • Fax:
Mailing address:
  • Phone: 720-443-9197
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberPENDING
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1000505
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: