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:
Health care specialties
Specialty | Code | License # | 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 13 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 | 1245289834 | NPPES |
California | MEDICAID | 00A680400 | |
California | Other | P00808581 | |
California | MEDICAID | 32851871 |
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