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Individual

LISA M FEHELEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
6255 QUEBEC PKWY, COMMERCE CITY, CO 80022-4812
(303) 286-6755
(303) 286-8260
Mailing address
203 S ROLLIE AVE, FORT LUPTON, CO 80621-1508
(303) 286-4560
(303) 286-4589

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00006783
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08203571
CO
Enumeration date
02/07/2006
Last updated
11/08/2013
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