Individual
MRS. LISA KANTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MN, CPNP
Contact information
Practice address
5751 BALSAM ST, ARVADA, CO 80002-2332
(303) 423-5536
Mailing address
4741 W FREMONT CT, LITTLETON, CO 80128-2508
(303) 948-9600
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
84845
CO
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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