Provider Demographics
NPI:1497329924
Name:LERETTE, LYNDEE (DNP)
Entity Type:Individual
Prefix:MISS
First Name:LYNDEE
Middle Name:
Last Name:LERETTE
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4600 HALE PKWY STE 340
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-4000
Mailing Address - Country:US
Mailing Address - Phone:303-280-0900
Mailing Address - Fax:
Practice Address - Street 1:4600 HALE PKWY STE 340
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-4000
Practice Address - Country:US
Practice Address - Phone:303-280-0900
Practice Address - Fax:303-280-3858
Is Sole Proprietor?:No
Enumeration Date:2021-05-19
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.1648182163WM0705X
COAPN.0096540-NP207Q00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine