Individual
DR. LISA M DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33684
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01336841
—
CO
01
—
16403
KAISER COMMERCIAL NUMBER
CO
Enumeration date
11/30/2005
Last updated
04/09/2021
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