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Individual

LISA ANN BADON

Active
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Individual

LISA ANN BADON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
DR.0048126
CO
208000000X
Pediatrics Physician
MD165827
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
54936331
CO
Enumeration date
05/24/2007
Last updated
09/06/2024
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