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Individual

LISA MARIE WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
4799 ESSEX CIR, BOULDER, CO 80301-4136
(970) 390-5525
Mailing address
4799 ESSEX CIR, BOULDER, CO 80301-4136
(970) 390-5525

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
014506
NY
363AS0400X
Surgical Physician Assistant
Primary
3368
CO

Other

Enumeration date
02/07/2011
Last updated
05/07/2014
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