Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0216X | Pediatric Rheumatologist | DR.0044364 | CO |
NPI | 1669411435 |
---|---|
Provider Name | Dr. Leonard L Dragone |
First Address | Aurora, CO 80042-0429 |
Second Address | Denver, CO 80206-2761 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 09/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
75172755 | (05) | CO |
H07742 | (02) | CO |