Individual
LISA A IACOFANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
335 SOUTH BOULDER ROAD, SUITE 6, LOUISVILLE, CO 80027
(303) 665-0900
(303) 926-1986
Mailing address
335 SOUTH BOULDER ROAD, SUITE 6, LOUISVILLE, CO 80027
(303) 665-0900
(303) 926-1986
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31267
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01312677
—
CO
Enumeration date
07/12/2006
Last updated
01/31/2019
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