Provider Demographics
NPI:1306054747
Name:BAKALAR, NANCY LEE (MD)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:LEE
Last Name:BAKALAR
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Gender:F
Credentials:MD
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Mailing Address - Street 1:NANCY L. BAKALAR, MD
Mailing Address - Street 2:9143 E STAR HILL TRAIL
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-5410
Mailing Address - Country:US
Mailing Address - Phone:303-909-5950
Mailing Address - Fax:303-858-8118
Practice Address - Street 1:8310 S VALLEY HIGHWAY
Practice Address - Street 2:SUITE 300 (REGUS OFFICE SUITES)
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112
Practice Address - Country:US
Practice Address - Phone:303-909-5950
Practice Address - Fax:303-858-8118
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2019-10-14
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Provider Licenses
StateLicense IDTaxonomies
MDD322042084P0800X
CO455952084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO45595OtherCOLORADO MEDICAL LICENSE
MDD32204OtherMARYLAND MEDICAL LICENSE