Individual
LISA DICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1425 BLUE SKY CIR, ERIE, CO 80516-4630
(303) 827-1282
Mailing address
1425 BLUE SKY CIR, 15-307, ERIE, CO 80516-4630
(303) 827-1282
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
951251370
CO
Other
Enumeration date
10/10/2014
Last updated
10/10/2014
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