Individual
LISA RENE CLOUTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1925 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3128
(720) 494-3126
(720) 718-8025
Mailing address
1925 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3128
(720) 494-3126
(720) 718-8025
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0998870-NP
CO
363LF0000X
Family Nurse Practitioner
RN.0168706
CO
363LF0000X
Family Nurse Practitioner
RXN.0107940-NP
CO
Other
Enumeration date
06/15/2023
Last updated
07/06/2023
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