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Individual

LISA ELIZABETH HUMISTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
16290 E QUINCY AVE, AURORA, CO 80015-1594
(303) 614-1400
Mailing address
130 CRAWFORD CIR, GOLDEN, CO 80401-4822
(303) 278-0540

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
179996
CO

Other

Enumeration date
10/16/2008
Last updated
10/16/2008
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