Individual
MRS. LISA MARIE DUDZIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C.
Contact information
Practice address
5770 FLINTRIDGE DR STE 100, COLORADO SPRINGS, CO 80918-1870
(719) 445-9902
(719) 487-0005
Mailing address
5770 FLINTRIDGE DR STE 100, COLORADO SPRINGS, CO 80918-1870
(719) 445-9902
(719) 487-0005
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0010368-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000157056
—
CO
Enumeration date
12/11/2006
Last updated
03/01/2018
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