Healthcare Provider Details

I. General information

NPI: 1225590425
Provider Name (Legal Business Name): CHRISTINA DAMI LEE-COUCH DO, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DAMI LEE DO, MS

II. Dates (important events)

Enumeration Date: 04/05/2019
Last Update Date: 07/12/2025
Certification Date: 07/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 HALE PKWY STE 520
DENVER CO
80220-4053
US

IV. Provider business mailing address

4700 HALE PKWY STE 520
DENVER CO
80220-4053
US

V. Phone/Fax

Practice location:
  • Phone: 470-052-0802
  • Fax:
Mailing address:
  • Phone: 303-321-6608
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberDR.0075685
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: