Individual
DR. LISA M MCGLOIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
580 MOHAWK DR, BOULDER, CO 80303-3712
(303) 338-4545
(303) 344-7715
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 344-7715
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
45672
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028930
KAISER COMMERCIAL NUMBER
CO
05
—
10224220
—
CO
Enumeration date
01/26/2007
Last updated
06/22/2021
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