Provider Demographics
NPI:1457399487
Name:HARRINGTON, LESLIE S (MD)
Entity Type:Individual
Prefix:
First Name:LESLIE
Middle Name:S
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8585 W 14TH AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80215-4857
Mailing Address - Country:US
Mailing Address - Phone:303-629-5600
Mailing Address - Fax:303-623-5151
Practice Address - Street 1:8585 W 14TH AVE
Practice Address - Street 2:SUITE A
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215-4857
Practice Address - Country:US
Practice Address - Phone:303-629-5600
Practice Address - Fax:303-623-5151
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-03
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO35958208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
COHA80060OtherBLUE CROSS BLUE SHIELD
CO01359587Medicaid
CO01359587Medicaid
COG31433Medicare UPIN