Provider Demographics
NPI:1225590425
Name:LEE-COUCH, CHRISTINA DAMI (DO, MS)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:DAMI
Last Name:LEE-COUCH
Suffix:
Gender:F
Credentials:DO, MS
Other - Prefix:
Other - First Name:DAMI
Other - Middle Name:
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO, MS
Mailing Address - Street 1:4700 HALE PKWY STE 520
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-4053
Mailing Address - Country:US
Mailing Address - Phone:303-321-6608
Mailing Address - Fax:
Practice Address - Street 1:4700 HALE PKWY STE 520
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-4053
Practice Address - Country:US
Practice Address - Phone:470-052-0802
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-05
Last Update Date:2025-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0075685208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Multi-Specialty