Individual
LISA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6710 S COLUMBINE RD, EVERGREEN, CO 80439-7000
(303) 670-7297
Mailing address
6710 S COLUMBINE RD, EVERGREEN, CO 80439-7000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
94575
CO
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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