Healthcare Provider Details

I. General information

NPI: 1295483899
Provider Name (Legal Business Name): MARIE VIRGINIA LENART PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2022
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1721 E 19TH AVE STE 500
DENVER CO
80218-1242
US

IV. Provider business mailing address

1721 E 19TH AVE STE 500
DENVER CO
80218-1242
US

V. Phone/Fax

Practice location:
  • Phone: 303-563-2755
  • Fax: 303-861-6219
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberPA.0008057
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: