Individual
ILSA CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12600 W COLFAX AVE STE B200, LAKEWOOD, CO 80215-3736
(303) 993-1330
Mailing address
12600 W COLFAX AVE STE B200, LAKEWOOD, CO 80215-3736
(303) 993-1330
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.0009199
CO
Other
Enumeration date
05/17/2021
Last updated
08/06/2025
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