Individual
LISA ROTHGERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 S JACKSON ST, SUITE 340, DENVER, CO 80209-3176
(303) 316-0416
(303) 316-0421
Mailing address
300 S JACKSON ST, SUITE 340, DENVER, CO 80209-3176
(303) 316-0416
(303) 316-0421
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0046058
CO
390200000X
Student in an Organized Health Care Education/Training Program
TL-1877
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07220511
—
CO
Enumeration date
01/26/2007
Last updated
02/05/2016
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