Ivy L Lersten, M.D.
Obstetrics & Gynecology, Reproductive Endocrinology in Aurora, CO. Individual provider (NPI-1).
NPI number1013371335
StatusActive
Last updated in NPPESJun 29, 2020
Details
- NPI
- 1013371335
- Entity type
- Individual (NPI-1)
- Name
- Ivy L Lersten
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 12, 2016
- Certification date
- Jun 29, 2020
- Last updated
- Jun 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VE0102X | Obstetrics & Gynecology, Reproductive Endocrinology | DR.0063987 | CO | Yes |
Other names
- Ivy Shupeng Lin (Former Name)
Practice location
13001 E 17th PlAurora, CO 80045-2570
Phone 303-724-2052 · Fax 303-724-2055
Mailing address
13001 E 17th PlAurora, CO 80045-2570
Phone 303-724-2052 · Fax 303-724-2055
Other practice locations
12605 E 16th Ave
Aurora, CO 80045-2545
Aurora, CO 80045-2545
Phone 720-848-0000
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