Renner, Lisa Julie

Renner, Lisa Julie is an sole proprietor health care provider with primary practice located at 360 S Monroe St Suite 250, Denver CO 80209-3705. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Renner, Lisa Julie can be contacted via phone (303) 333-1232.

Contact Information

Primary practice address
360 S Monroe St Suite 250 Denver CO 80209-3705
Fax: (303) 333-2575
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 33586 Colorado
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 33586 Colorado

Profile Details

NPI number 1740280726
LBN Legal business name Renner, Lisa Julie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2005
Last updated Mar 14th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740280726 NPPES
Colorado MEDICAID 01335868

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