Organization
LISA M. HUNSICKER, MD, P.C.
Active
Other names
Revalla Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA M HUNSICKER MD (OWNER)
(720) 283-2500
Entity
Organization
Contact information
Practice address
7750 S BROADWAY, STE 150, LITTLETON, CO 80122-2632
(720) 283-2500
(720) 283-1122
Mailing address
7750 S BROADWAY, STE 150, LITTLETON, CO 80122-2632
(720) 283-2500
(720) 283-1122
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
00000
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36965
MEDICAL LIC
CO
01
—
C543338
MEDICARE PTAN
CO
Enumeration date
01/16/2007
Last updated
03/07/2023
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