Organization
LISA WONG MD MS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA WONG (MANAGER; PHYSICIAN)
(303) 588-3300
Entity
Organization
Contact information
Practice address
916 HOMESTAKE DR, GOLDEN, CO 80401-1772
(303) 588-3300
Mailing address
916 HOMESTAKE DR, GOLDEN, CO 80401-1772
(303) 588-3300
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
49920
CO
Other
Enumeration date
09/19/2011
Last updated
05/02/2013
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