Healthcare Provider Details

I. General information

NPI: 1265718654
Provider Name (Legal Business Name): N. LEE GEYER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/29/2011
Last Update Date: 10/29/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19570 E CRESTRIDGE CIR
CENTENNIAL CO
80015-3736
US

IV. Provider business mailing address

19570 E CRESTRIDGE CIR
CENTENNIAL CO
80015-3736
US

V. Phone/Fax

Practice location:
  • Phone: 303-726-0333
  • Fax:
Mailing address:
  • Phone: 303-726-0333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number15251
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: