Individual
DR. LISE COTTER MUZNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2995 BASELINE RD, SUITE 210, BOULDER, CO 80303-2318
(303) 415-8900
(303) 443-6476
Mailing address
5450 WESTERN AVE, BOULDER, CO 80301-2709
(303) 415-8900
(303) 443-6476
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0037563
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
57271372
—
CO
Enumeration date
04/19/2006
Last updated
11/09/2017
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