Individual
LISA CUNNINGHAM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2620 TENDERFOOT HILL ST, SUITE 100, COLORADO SPRINGS, CO 80906-3981
(719) 576-7006
(719) 576-7981
Mailing address
2620 TENDERFOOT HILL ST, SUITE 100, COLORADO SPRINGS, CO 80906-3981
(719) 576-7006
(719) 576-7981
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
31239
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01312396
—
CO
Enumeration date
05/23/2006
Last updated
07/08/2007
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