Individual
ELIZABETH ANNE BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9485 W COLFAX AVE, LAKEWOOD, CO 80215-3918
(303) 432-5505
Mailing address
1337 SYRACUSE ST, DENVER, CO 80220-3226
(303) 388-4161
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
173967
CO
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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