# LISA BOLGAR

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1811540677
- **Gender:** F
- **Credential:** FNP-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | C-APN.0003304-C-NP | CO | Yes |
| 363LF0000X | Family Nurse Practitioner | 2018043386 | MO | — |
| 363LF0000X | Family Nurse Practitioner | 5012095 | NC | — |

## Other

- **Enumeration date:** 07/22/2019
- **Last updated:** 07/31/2024