Individual
MS. LISA GAUTHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 S HAVANA ST, WATERPARK 1, AURORA, CO 80014-1618
(303) 614-1530
Mailing address
10611 HYACINTH ST, HIGHLANDS RANCH, CO 80129-4662
(303) 547-4888
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
01736
CO
Other
Enumeration date
03/24/2017
Last updated
03/24/2017
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