Individual
LISA K DIAMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
16420 W US HIGHWAY 24, WOODLAND PARK, CO 80863-8760
(719) 687-9999
(719) 686-5725
Mailing address
720 W US HIGHWAY 24, WOODLAND PARK, CO 80863-8968
(719) 686-0878
(719) 686-7331
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2481
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49436236
—
CO
Enumeration date
08/04/2006
Last updated
02/28/2012
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