Individual
LISA MARIE-MAUSBACH BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DVM
Contact information
Practice address
10474 W 38TH AVE, WHEAT RIDGE, CO 80033-4010
(720) 456-6599
Mailing address
16760 W 60TH DR, ARVADA, CO 80403-2602
(720) 290-4574
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
6753
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6753
COLORADO DEPARTMENT OF REGULATORY AGENCIES
CO
Enumeration date
01/29/2019
Last updated
06/11/2019
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