LEE MICHAEL FONSECA

PUEBLO, CO
NPI1831258367
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CO  105831)
Enumeration Date2006-12-08
Last Update Date2023-10-10
Business Address
Mr. LEE MICHAEL FONSECA NP-C
4112 OUTLOOK BLVD SUITE 37
PUEBLO, CO 81008-1667
Phone number: 719-562-6254
Mailing Address
Mr. LEE MICHAEL FONSECA NP-C
4112 OUTLOOK BLVD SUITE 37
PUEBLO, CO 81008-1667
Phone number: 719-562-6254
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