Individual
DR. LISA DIANE DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2373 CENTRAL PARK BLVD UNIT 205, DENVER, CO 80238-2300
(303) 377-2494
(303) 377-2548
Mailing address
2373 CENTRAL PARK BLVD UNIT 205, DENVER, CO 80238-2300
(303) 377-2494
(303) 377-2548
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37134
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141898808
TAX ID
CO
Enumeration date
05/26/2006
Last updated
04/02/2014
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