Mccullough, Lisa Rae

Mccullough, Lisa Rae is an individual health care provider with primary practice located at 1400 E Boulder St , Colorado Springs CO 80909-5533. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Mccullough, Lisa Rae can be contacted via phone (719) 447-8812.

Contact Information

Primary practice address
1400 E Boulder St Colorado Springs CO 80909-5533
Phone: (719) 447-8812
Fax: (719) 447-8987
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 5336 Colorado

Profile Details

NPI number 1861657280
LBN Legal business name Mccullough, Lisa Rae
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2008
Last updated Jul 24th, 2008 - about 16 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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