Individual
LISA MARIE WOLKERSTORFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1720 S BELLAIRE ST, SUITE 406, DENVER, CO 80222-4304
(303) 526-6579
Mailing address
543 S BRYANT ST, DENVER, CO 80219-3024
(303) 526-6579
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MT0013865
CO
Other
Enumeration date
01/16/2016
Last updated
01/16/2016
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