Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 3224 | CO |
NPI | 1396865275 |
---|---|
Provider Name | Dr. Adrienne Lee Senatore |
First Address | Grand Junction, CO 81501-2738 |
Second Address | Grand Junction, CO 81501-2738 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2007 |
Last Update Date | 08/07/2007 |