Individual
DR. LISA M. MASSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16290 E QUINCY AVE, AURORA, CO 80015-1594
(303) 338-4545
Mailing address
16290 E QUINCY AVE, AURORA, CO 80015-1594
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0054397
CO
207Q00000X
Family Medicine Physician
G59301
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G593010
—
CA
01
—
025997
KAISER COMMERCIAL NUMBER
CO
05
—
69582564
—
CO
Enumeration date
05/11/2006
Last updated
07/23/2015
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