Nguyen, Lisa My
Nguyen, Lisa My is an individual health care provider with primary practice located at 340 E 1St Ave Ste 101 , Broomfield CO 80020-2444. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Nguyen, Lisa My can be contacted via phone (303) 544-3800.Contact Information
Primary practice address
340 E 1St Ave Ste 101
Broomfield CO 80020-2444
Phone: (303) 544-3800
Fax: (303) 463-7182
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 50041 | Colorado |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
NPI number | 1225270135 |
---|---|
LBN Legal business name | Nguyen, Lisa My |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 25th, 2009 |
Last updated | Jun 25th, 2021 - about 4 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 | 1225270135 | NPPES |
Colorado | MEDICAID | 08626332 |
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