Individual
LISA JULIE RENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
360 S MONROE ST, SUITE 250, DENVER, CO 80209-3705
(303) 333-1232
(303) 333-2575
Mailing address
360 S MONROE ST, SUITE 250, DENVER, CO 80209-3705
(303) 333-1232
(303) 333-2575
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
33586
CO
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
33586
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01335868
—
CO
Enumeration date
07/29/2005
Last updated
03/14/2008
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