Individual
MRS. LISA KAY FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP
Contact information
Practice address
1900 WARDENBURG DR, BOULDER, CO 80309-7106
(303) 492-5432
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0991427-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56271760
—
CO
Enumeration date
11/19/2014
Last updated
04/08/2020
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