Maccormack, Lisa Marie

Maccormack, Lisa Marie is an individual health care provider with primary practice located at 4231 W 16Th Ave , Denver CO 80204-1335. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Maccormack, Lisa Marie can be contacted via phone (303) 629-3721.

Contact Information

Primary practice address
4231 W 16Th Ave Denver CO 80204-1335
Phone: (303) 629-3721
Fax: (303) 629-2192
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A68040 California
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 36900 Colorado

Profile Details

NPI number 1245289834
LBN Legal business name Maccormack, Lisa Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Nov 2nd, 2011 - about 14 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 1245289834 NPPES
California MEDICAID 00A680400
California Other P00808581
California MEDICAID 32851871

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