Medina, Lisa L

Medina, Lisa L is an individual health care provider with primary practice located at 4251 Kipling St Unit 220 , Wheat Ridge CO 80033-2897. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Medina, Lisa L can be contacted via phone (303) 424-0559.

Contact Information

Primary practice address
4251 Kipling St Unit 220 Wheat Ridge CO 80033-2897
Phone: (303) 424-0559
Fax: (303) 424-0205
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN.0996552-NP Colorado

Profile Details

NPI number 1629646179
LBN Legal business name Medina, Lisa L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2021
Last updated Apr 27th, 2022 - about 3 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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