Individual
LISA JEAN CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
12650 YATES ST, BROOMFIELD, CO 80020-5788
(720) 203-1989
Mailing address
12650 YATES ST, BROOMFIELD, CO 80020-5788
(720) 203-1989
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
10094
CO
171W00000X
Contractor
Primary
10094
CO
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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