Individual
MRS. LISA SUE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
605 BANNOCK ST, DENVER, CO 80204-4505
(303) 602-3700
(303) 602-3676
Mailing address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 602-3700
(303) 602-3676
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APN.0004504-NP
CO
Other
Enumeration date
09/30/2006
Last updated
12/19/2024
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