Individual
DR. LISA ANNE SHELDON COBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2430 BROADWAY ST STE 101, BOULDER, CO 80304-4118
(303) 786-8899
Mailing address
2969 7TH ST, BOULDER, CO 80304-3015
(303) 653-3359
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9064
CO
Other
Enumeration date
05/02/2007
Last updated
01/13/2018
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