Individual
LISA T COSTANIGRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1024 S LEMAY AVE, 80524-3929, FORT COLLINS, CO 80524-3929
(970) 495-7000
Mailing address
1624 TANGLEWOOD DR, FORT COLLINS, CO 80525-2047
(970) 672-4801
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17999
CO
Other
Enumeration date
09/12/2006
Last updated
08/04/2010
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