Provider Demographics
NPI:1225837537
Name:LEES, NANCY MARIE
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:MARIE
Last Name:LEES
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 N COMMERCIAL ST
Mailing Address - Street 2:
Mailing Address - City:TRINIDAD
Mailing Address - State:CO
Mailing Address - Zip Code:81082-2647
Mailing Address - Country:US
Mailing Address - Phone:719-859-3613
Mailing Address - Fax:
Practice Address - Street 1:212 N COMMERCIAL ST
Practice Address - Street 2:
Practice Address - City:TRINIDAD
Practice Address - State:CO
Practice Address - Zip Code:81082-2647
Practice Address - Country:US
Practice Address - Phone:719-859-3613
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty