Provider Demographics
NPI:1063169803
Name:INSIPRED BY HEALTH LEA L GATTONI SOLE MBR
Entity type:Organization
Organization Name:INSIPRED BY HEALTH LEA L GATTONI SOLE MBR
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:LEA
Authorized Official - Middle Name:
Authorized Official - Last Name:GATTONI
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:970-217-5393
Mailing Address - Street 1:1001 E BAYAUD AVE APT 806
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-2375
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1101 E BAYAUD AVE APT E2602
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-2730
Practice Address - Country:US
Practice Address - Phone:970-217-5393
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-02
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service