Individual
DR. LISSA DACOSCOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
1716 E 19TH AVE, DENVER, CO 80218
(720) 754-2296
Mailing address
2603 GENEVA ST, DENVER, CO 80238-3038
(303) 726-7765
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APN.0995826-NP
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2020
Last updated
02/01/2023
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