Individual
MRS. LISA G LEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, ATC
Contact information
Practice address
1551 PROFESSIONAL LN, SUITE 200, LONGMONT, CO 80501-6972
(303) 772-1600
Mailing address
PO BOX 787, FIRESTONE, CO 80520-0787
(720) 938-1564
(720) 494-3247
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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