Individual
ALECIA LYNETTE DILISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
720 ELKTON DR # 175, COLORADO SPRINGS, CO 80907-3516
(719) 400-6538
Mailing address
215 WILCOX ST APT 2323, CASTLE ROCK, CO 80104-2563
(405) 990-9468
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
-APN.0002609-C-NP
CO
363LF0000X
Family Nurse Practitioner
C-RXN.0001215-C-NP
CO
Other
Enumeration date
01/26/2021
Last updated
10/26/2021
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