MEDICARE: SARA N/A MOSLEHI

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	224P00000X	Prosthetist		CO

General Provider Information

NPI Number	:	1457283962
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA N/A MOSLEHI

Provider Business Mailing Address
First Line	:	11224 W MEXICO DR
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80232-6109
Country	:	US
Telephone Number	:	720-999-4839
Fax Number	:

Provider Business Practice Location Address
First Line	:	1074 S ALKIRE ST
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80228-3124
Country	:	US
Telephone Number	:	720-998-9043
Fax Number	:

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

Provider Enumeration Date	:	05/30/2026
Last Update Date	:	05/30/2026

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Directions to “ SARA N/A MOSLEHI ” Practice Location

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