Individual
CHAROLETTE LIPPOLIS CONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
7550 W YALE AVE STE A155, LAKEWOOD, CO 80227-3476
(720) 980-2479
Mailing address
PO BOX 86, EVERGREEN, CO 80437-0086
(720) 984-2679
(888) 344-0395
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
45886
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89156773
—
CO
Enumeration date
04/22/2008
Last updated
01/29/2021
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