Individual
ELLEN LIEBGOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(303) 689-4000
Mailing address
10513 MADISON ST, THORNTON, CO 80233-4470
(303) 501-0449
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
CO
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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