Provider Demographics
NPI:1508126426
Name:LESH, CAITLYN DRAGON (MD)
Entity Type:Individual
Prefix:DR
First Name:CAITLYN
Middle Name:DRAGON
Last Name:LESH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CAITLYN
Other - Middle Name:V
Other - Last Name:DRAGON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2695 ROCKY MOUNTAIN AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-9071
Mailing Address - Country:US
Mailing Address - Phone:720-516-9092
Mailing Address - Fax:
Practice Address - Street 1:9330 S UNIVERSITY BLVD STE 230
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80126
Practice Address - Country:US
Practice Address - Phone:720-516-9092
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-24
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY287037208600000X
CO60953208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery