Individual
LISA L LIPSCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
82199
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
077368
NURSE ANESTHETISTS LIC.
NC
05
—
8052731
—
NC
01
—
82199
RN LICENSE
NC
Enumeration date
12/11/2006
Last updated
08/07/2013
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