Lea Lanni Buck, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2687 Issued in CO

Practice address

13772 Denver West Pkwy Ste 250
Lakewood, CO 80401-3196

Phone

(303) 216-0333

Fax

(303) 216-1511

NPI assigned

Feb 11, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Denver West Pediatrics, PC

  • Primary Care Clinic/Center
  • Lakewood, CO
  • NPI 1528064276
  NPD (past)
• Evergreen Pediatrics, LLC

  • Pediatrics Physician
  • Evergreen, CO
  • NPI 1689839144
  NPD (past)
• Pediaclinic LLC

  • Pediatrics Physician
  • Highlands Ranch, CO
  • NPI 1851866180
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1003055260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13772 DENVER WEST PKWY STE 250",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013196",
            "telephone_number": "303-216-0333",
            "fax_number": "303-694-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13772 DENVER WEST PKWY STE 250",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013196",
            "telephone_number": "303-216-0333",
            "fax_number": "303-216-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "LEA",
        "middle_name": "LANNI",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-11",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "2687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Tyler Bryant
• Kyle Vincent Brytowski, LPCC
• Nicholas Scott Buchholtz, M.A., LPC
• Erica Buck, LCSW
• Justin L Buck
• Jessica Buckingham
• Charles A Buckley, M.D.
• Lauren Buckley, NURSE PRACTITIONER
• Ansley Bucknam, PT, DPT
• Jodie Buczak

• Physician Assistant in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.