Individual
LISA WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
DR.0066752
CO
2085R0204X
Vascular & Interventional Radiology Physician
PG200148
OR
390200000X
Student in an Organized Health Care Education/Training Program
060646844
CT
Other
Enumeration date
04/15/2015
Last updated
09/22/2021
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