Individual
MRS. LISA RAE BUXMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM RM
Contact information
Practice address
1900 68TH AVE UNIT 702, GREELEY, CO 80634-7971
(970) 396-3822
Mailing address
1900 68TH AVE. #702, GREELEY, CO 80634
(970) 396-3822
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
119
CO
Other
Enumeration date
06/11/2010
Last updated
06/11/2010
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