Detwiler, Lisa
Detwiler, Lisa is an sole proprietor health care provider with primary practice located at 4341 Martinson Dr , Loveland CO 80537-3222. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Detwiler, Lisa can be contacted via phone (919) 602-1578.Contact Information
Primary practice address
4341 Martinson Dr
Loveland CO 80537-3222
Phone: (919) 602-1578
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 903400 | Colorado |
Profile Details
| NPI number | 1114799517 |
|---|---|
| LBN Legal business name | Detwiler, Lisa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 27th, 2023 |
| Last updated | Oct 27th, 2023 - about last year |
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.
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