Hicks, Lisa Beth

Hicks, Lisa Beth is an individual health care provider with primary practice located at 7000 W Colfax Ave , Lakewood CO 80214-5433. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Hicks, Lisa Beth can be contacted via phone (303) 996-1188.

Contact Information

Primary practice address
7000 W Colfax Ave Lakewood CO 80214-5433
Phone: (303) 996-1188
Fax: (303) 996-1199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 26NR11715400 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X CRA-100053 Colorado

Profile Details

NPI number 1609815042
LBN Legal business name Hicks, Lisa Beth
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Feb 16th, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609815042 NPPES
Colorado MEDICAID 18874541

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