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Mr. Lee Michael Fonseca, NP-C
Family Nurse Practitioner in Pueblo, Colorado
NPI 1831258367

Lee Michael Fonseca is a Family Nurse Practitioner based in Pueblo, CO and is specialized in Family. Lee Michael Fonseca practices in Pueblo, CO and has the professional credentials of NP-C. The NPI Number for Lee Michael Fonseca is 1831258367 and holds a License No. 105831 (Colorado).

The current practice location address for Lee Michael Fonseca is 4112 Outlook Blvd, Pueblo, CO and can be reached out via phone at 719-562-6254 and via fax at 719-562-6255.

Location: 4112 Outlook Blvd, Pueblo, CO, 81008-1667
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831258367
Provider Name
Lee Michael Fonseca
Credential
NP-C
Provider Entity Type
Individual
Gender
Male
Address
4112 Outlook Blvd, Pueblo, CO, 81008-1667
Phone Number
719-562-6254
Fax Number
719-562-6255
Provider Enumeration Date
12/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
92354378 05 CO
institution
Provider Business Practice Location Address Details
Address
4112 Outlook Blvd
City
Pueblo
State
Colorado
Zip
81008-1667
Phone Number
719-562-6254
Fax Number
719-562-6255
person
Provider Business Mailing Address Details
Address
4112 Outlook Blvd
City
Pueblo
State
Colorado
Zip
81008-1667
Phone Number
719-562-6254
Fax Number
719-562-6255
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
105831 (Colorado)
Definition
Definition to come...
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