Individual
DR. LISA MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
675 COVEGLEN CT, COLORADO SPRINGS, CO 80906-6801
(706) 726-5472
Mailing address
675 COVEGLEN CT, COLORADO SPRINGS, CO 80906-6801
(706) 726-5472
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01052947A
IN
208600000X
Surgery Physician
Primary
DR.0053436
CO
Other
Enumeration date
02/24/2006
Last updated
11/05/2016
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