Basic Information
| Provider Information | |||||||||
| NPI: | 1164886214 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SLATNICK | ||||||||
| FirstName: | LEONORA | ||||||||
| MiddleName: | ROSE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 13001 E. 17TH PLACE | ||||||||
| Address2: | UNIVERSITY OF COLORADO SCHOOL OF MEDICINE GME | ||||||||
| City: | AURORA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800452581 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7207773846 | ||||||||
| FaxNumber: | 7207777258 | ||||||||
| Practice Location | |||||||||
| Address1: | 13001 E. 17TH PLACE | ||||||||
| Address2: | UNIVERSITY OF COLORADO SCHOOL OF MEDICINE GME | ||||||||
| City: | AURORA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800452581 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7207773846 | ||||||||
| FaxNumber: | 7207777258 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/05/2016 | ||||||||
| LastUpdateDate: | 10/20/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/20/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2080P0207X | 12888485-1205 | UT | Y | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Hematology-Oncology |
No ID Information.