Individual
LISA KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
109 MAPLE LN, ASPEN, CO 81611-2174
(970) 925-8184
Mailing address
PO BOX 8351, ASPEN, CO 81612-8351
(970) 925-8184
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0089432
CO
Other
Enumeration date
02/13/2021
Last updated
02/13/2021
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