Individual
LISA LILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10400 E ALAMEDA AVE, DENVER, CO 80247
(303) 338-4545
Mailing address
10400 E ALAMEDA AVE, DENVER, CO 80247-5104
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
1631619
CO
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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