Individual
LISA MARIE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1746 COLE BLVD, SUITE 150, LAKEWOOD, CO 80401-3208
(303) 914-8800
(303) 716-3777
Mailing address
1746 COLE BLVD, SUITE 150, LAKEWOOD, CO 80401-3208
(303) 914-8800
(303) 716-3777
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
45448
CO
2085R0202X
Diagnostic Radiology Physician
Primary
45448
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85332216
—
CO
Enumeration date
07/23/2007
Last updated
09/09/2022
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