# BOULDER GYNECOLOGY & MINIMALLY INVASIVE SURGERY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043484082
- **Authorized official:** LISA LEPINE MD (OWNER)
- **Authorized official phone:** (720) 382-2621

## Contact information

- **Practice address:** 4800 RIVERBEND RD STE 200, BOULDER, CO 80301-2608
- **Practice address phone:** (720) 382-2621
- **Practice address fax:** (720) 382-2625
- **Mailing address:** 4800 RIVERBEND RD STE 200, BOULDER, CO 80301-2608
- **Mailing address phone:** (720) 382-2621
- **Mailing address fax:** (720) 382-2625

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 43874 | CO | Yes |

## Other

- **Enumeration date:** 04/22/2008
- **Last updated:** 04/22/2008