Individual
LISA BONWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1715 N WEBER ST, COLORADO SPRINGS, CO 80907-7532
(719) 632-4455
Mailing address
2695 ROCKY MOUNTAIN AVE, SUITE 150, LOVELAND, CO 80538-8702
(970) 624-4443
(970) 490-4175
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
45483
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
92578705
—
CO
Enumeration date
07/04/2006
Last updated
08/16/2024
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