Rider, Lisa M.

Rider, Lisa M. is an individual health care provider with primary practice located at 13123 E 16Th Ave Box 030, Aurora CO 80045-7106. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Rider, Lisa M. can be contacted via phone (720) 478-0158.

Contact Information

Primary practice address
13123 E 16Th Ave Box 030 Aurora CO 80045-7106
Phone: (720) 478-0158
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 41 Colorado
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 41 Colorado

Profile Details

NPI number 1780728212
LBN Legal business name Rider, Lisa M.
Credentials AUD, CCC-A, PASC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2007
Last updated Feb 6th, 2017 - about 8 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 1780728212 NPPES
Colorado MEDICAID 19282770
Colorado MEDICAID 69920346

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