Individual
LISA MONTIJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4 S CASCADE AVE, COLORADO SPRINGS, CO 80903-1653
(719) 210-6155
Mailing address
8425 SUTTERFIELD DR, COLORADO SPRINGS, CO 80920-6203
(719) 598-9669
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APN-0996240-NP
CO
363LA2200X
Adult Health Nurse Practitioner
Primary
APN-0996240-NP
CO
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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