Individual
LISA INGEBRITSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4857 S BROADWAY, ENGLEWOOD, CO 80113-6806
(303) 220-9200
Mailing address
4857 S BROADWAY, ENGLEWOOD, CO 80113-6806
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
165191
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44529864
—
CO
Enumeration date
12/08/2006
Last updated
07/08/2007
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