Individual
LISA BETH HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7000 W COLFAX AVE, LAKEWOOD, CO 80214-5433
(303) 996-1188
(303) 996-1199
Mailing address
8000 E MAPLEWOOD AVE, STE 200, GREENWOOD VILLAGE, CO 80111-4727
(303) 205-1090
(303) 205-1098
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
26NR11715400
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
CRA-100053
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18874541
—
CO
Enumeration date
06/04/2006
Last updated
02/16/2017
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