Individual
LISA LOUISE RUBIN HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
DR.0065428
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171353901
—
TX
05
—
171353903
—
TX
05
—
171353905
—
TX
05
—
190685101
—
TX
01
—
8BQ023
BCBS
TX
Enumeration date
09/04/2008
Last updated
01/29/2021
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