Individual
LISA M BALDUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4743 ARAPAHOE AVE STE 100, BOULDER, CO 80303-1123
(303) 443-2123
(303) 443-9497
Mailing address
PO BOX 9049, BOULDER, CO 80301-9049
(303) 415-4101
(303) 415-4769
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DR.0074648
CO
208600000X
Surgery Physician
MD2006-0263
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18453597
—
NM
05
—
9000245035
—
CO
Enumeration date
07/05/2006
Last updated
07/24/2025
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