Healthcare Provider Details
I. General information
NPI: 1942387949
Provider Name (Legal Business Name): SARAH J LENA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/01/2006
Last Update Date: 07/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11245 HURON ST
WESTMINSTER CO
80234-2806
US
IV. Provider business mailing address
2500 S HAVANA ST
AURORA CO
80014-1618
US
V. Phone/Fax
- Phone: 303-338-4545
- Fax:
- Phone: 303-338-4545
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 47776 |
| License Number State | WI |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 44825 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: