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Leon Stor, PA
Surgical Physician Assistant in Lakewood, Colorado
NPI 1235462813

Leon Stor is a Surgical Physician Assistant based in Lakewood, CO and is specialized in Surgical. Leon Stor practices in Lakewood, CO and has the professional credentials of PA. The NPI Number for Leon Stor is 1235462813 and holds a License No. (Colorado).

The current practice location address for Leon Stor is 11750 W 2Nd Pl, Lakewood, CO and can be reached out via phone at 720-321-8040 and via fax at 720-321-8041.

Location: 11750 W 2Nd Pl, Lakewood, CO, 80228-1575
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235462813
Provider Name
Leon Stor
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
11750 W 2Nd Pl, Lakewood, CO, 80228-1575
Phone Number
720-321-8040
Fax Number
720-321-8041
Provider Enumeration Date
09/14/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
91104530 05 CO
institution
Provider Business Practice Location Address Details
Address
11750 W 2Nd Pl
City
Lakewood
State
Colorado
Zip
80228-1575
Phone Number
720-321-8040
Fax Number
720-321-8041
person
Provider Business Mailing Address Details
Address
11750 W 2Nd Pl
City
Lakewood
State
Colorado
Zip
80228-1575
Phone Number
720-321-8040
Fax Number
720-321-8041
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA-2907 (Colorado)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
()
Definition
Definition to come...
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