LEE MICHAEL FONSECA

PUEBLO, CO
NPI1831258367
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CO  APN.0004081-NP)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: CO  105831)
Enumeration Date2006-12-08
Last Update Date2025-02-11
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
PO BOX 800022 SUITE 37
KANSAS CITY, MO 64180-0022
Phone number: 800-953-0103