MEDICARE: LEONARD SOBOLEWSKI

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
1	163W00000X	Registered Nurse	120567	CO
2	367500000X	Certified Registered Nurse Anesthetist	020620	CO

General Provider Information

NPI Number	:	1326250507
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEONARD SOBOLEWSKI

Provider Business Mailing Address
First Line	:	3600 S YOSEMITE ST # 330
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80237-1812
Country	:	US
Telephone Number	:	303-268-4040
Fax Number	:	303-736-4147

Provider Business Practice Location Address
First Line	:	325 S TELLER ST STE 200
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80226-7389
Country	:	US
Telephone Number	:	303-268-4040
Fax Number	:	303-736-4147

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	09/11/2025

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Directions to “ LEONARD SOBOLEWSKI ” Practice Location

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