Individual
LISA KINGSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
7233 CHURCH RANCH BLVD, WESTMINSTER, CO 80021-4094
(303) 925-4940
(303) 925-4941
Mailing address
7233 CHURCH RANCH BLVD, WESTMINSTER, CO 80021-4094
(303) 925-4940
(303) 925-4941
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.69542
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2021
Last updated
10/18/2024
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