Cunningham, Lisa
Cunningham, Lisa is an individual health care provider with primary practice located at 2620 Tenderfoot Hill St Suite 100, Colorado Springs CO 80906-3981. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Cunningham, Lisa can be contacted via phone (719) 576-7006.Contact Information
Primary practice address
2620 Tenderfoot Hill St Suite 100
Colorado Springs CO 80906-3981
Phone: (719) 576-7006
Fax: (719) 576-7981
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 31239 | Colorado |
Profile Details
| NPI number | 1013962612 |
|---|---|
| LBN Legal business name | Cunningham, Lisa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013962612 | NPPES |
| Colorado | MEDICAID | 01312396 |
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