# LISA BUXMAN HOME MIDWIFERY CARE LLC

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

## Provider details

- **NPI number:** 1871028266
- **Authorized official:** MS. LISA R BUXMAN CPM RM (MIDWIFE)
- **Authorized official phone:** (970) 396-3822

## Contact information

- **Practice address:** 1711 35TH AVENUE CT, GREELEY, CO 80634-2812
- **Practice address phone:** (970) 396-3822
- **Practice address fax:** (970) 427-5008
- **Mailing address:** 1711 35TH AVENUE CT, GREELEY, CO 80634-2812
- **Mailing address phone:** (970) 396-3822
- **Mailing address fax:** (970) 427-5008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 0000119 | CO | Yes |

## Other

- **Enumeration date:** 04/24/2017
- **Last updated:** 04/24/2017