Provider Demographics
NPI:1003055260
Name:BUCK, LEA LANNI (PA)
Entity Type:Individual
Prefix:
First Name:LEA
Middle Name:LANNI
Last Name:BUCK
Suffix:
Gender:F
Credentials:PA
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Other - First Name:
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Mailing Address - Street 1:13772 DENVER WEST PKWY STE 250
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80401-3196
Mailing Address - Country:US
Mailing Address - Phone:303-216-0333
Mailing Address - Fax:303-694-2680
Practice Address - Street 1:13772 DENVER WEST PKWY STE 250
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80401-3196
Practice Address - Country:US
Practice Address - Phone:303-216-0333
Practice Address - Fax:303-216-1511
Is Sole Proprietor?:No
Enumeration Date:2009-02-11
Last Update Date:2023-01-26
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Provider Licenses
StateLicense IDTaxonomies
CO2687363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant