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Individual

LISA ELAINE BLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, MSN/MHA, HCI

Contact information

Practice address
2550 S PARKER RD, AURORA, CO 80014-1622
(303) 636-3006
Mailing address
42006 OAKWOOD ST, ELIZABETH, CO 80107-9100
(303) 646-2864

Taxonomy

Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
112250
CO

Other

Enumeration date
01/12/2010
Last updated
01/12/2010
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