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Individual

DR. LISA BETH FERSTENBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
302 W ORMAN AVE, PUEBLO, CO 81004-1855
(719) 542-2620
(719) 542-2620
Mailing address
302 W ORMAN AVE, PUEBLO, CO 81004-1855
(719) 542-2620
(719) 542-2620

Taxonomy

Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
29576
CO
2083X0100X
Occupational Medicine Physician
MD2007-0705
NM

Other

Enumeration date
01/09/2008
Last updated
01/09/2008
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