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Individual

LISA ELLEN KECKLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
100 HEALTH PARK DR, LOUISVILLE, CO 80027-9583
(303) 673-1102
Mailing address
15774 W WEDGE WAY, MORRISON, CO 80465-2146
(209) 345-6690

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
0191601
CO
363LN0005X
Critical Care Neonatal Nurse Practitioner
0191601
CO
363LN0005X
Critical Care Neonatal Nurse Practitioner
NP378406
CA

Other

Enumeration date
04/13/2007
Last updated
03/04/2014
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