Radice, Lisa M

Radice, Lisa M is an individual health care provider with primary practice located at 2121 E Harmony Rd Suite 160, Fort Collins CO 80528-3400. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Radice, Lisa M can be contacted via phone (970) 482-3328.

Contact Information

Primary practice address
2121 E Harmony Rd Suite 160 Fort Collins CO 80528-3400
Phone: (970) 482-3328
Fax: (970) 482-1433
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4973 Colorado
Nursing Service Providers / Registered Nurse 163W00000X 160294 Colorado

Profile Details

NPI number 1982757845
LBN Legal business name Radice, Lisa M
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Jan 22nd, 2015 - about 9 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 1982757845 NPPES
Colorado MEDICAID 37724878

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