Individual
DR. LISA NAOMI METTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5257 S WADSWORTH BLVD, LITTLETON, CO 80123-2228
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0057209
CO
207Q00000X
Family Medicine Physician
TL.0005192
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029049
KAISER COMMERCIAL NUMBER
CO
05
—
9000150153
—
CO
Enumeration date
04/17/2014
Last updated
06/18/2021
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