Individual
LISA MENCONI WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
400 INDIANA ST STE 280, GOLDEN, CO 80401-5069
(303) 985-1811
Mailing address
400 INDIANA ST STE 280, GOLDEN, CO 80401-5069
(303) 985-1811
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1106
CO
363AM0700X
Medical Physician Assistant
Primary
PA.0001106
CO
Other
Enumeration date
02/27/2007
Last updated
09/23/2020
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