Individual
DR. LIA R MATARRESE MCGIBBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1910 COALTON RD, SUPERIOR, CO 80027-4674
(720) 494-4700
(720) 494-4706
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
279671
NY
207RR0500X
Rheumatology Physician
Primary
50866
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70976287
—
CO
Enumeration date
04/30/2009
Last updated
04/14/2026
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