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Individual

LISA M CORLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
700 W US HIGHWAY 24, WOODLAND PARK, CO 80863-8975
(719) 522-1133
(719) 687-8919
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0009459
CO
363A00000X
Physician Assistant
Primary
PA.9459
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9000254828
CO
Enumeration date
02/27/2009
Last updated
04/17/2026
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