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NPI Code Detail

MEDICARE: LEA LANNI BUCK P.A.

MEDICARE: LEA LANNI BUCK P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant2687CO

General Provider Information

NPI Number : 1003055260
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEA LANNI BUCK P.A.
Provider Business Mailing Address
First Line : 13772 DENVER WEST PKWY STE 250
Second Line :
City : LAKEWOOD
State : CO
Zip : 80401-3196
Country : US
Telephone Number : 303-216-0333
Fax Number : 303-694-2680
Provider Business Practice Location Address
First Line : 13772 DENVER WEST PKWY STE 250
Second Line :
City : LAKEWOOD
State : CO
Zip : 80401-3196
Country : US
Telephone Number : 303-216-0333
Fax Number : 303-216-1511
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2009
Last Update Date : 01/26/2023

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Directions to “ LEA LANNI BUCK P.A.” Practice Location

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