Rothgery, Lisa

Rothgery, Lisa is an individual health care provider with primary practice located at 300 S Jackson St Suite 340, Denver CO 80209-3176. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Rothgery, Lisa can be contacted via phone (303) 316-0416.

Contact Information

Primary practice address
300 S Jackson St Suite 340 Denver CO 80209-3176
Phone: (303) 316-0416
Fax: (303) 316-0421
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X TL-1877 Colorado
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DR.0046058 Colorado

Profile Details

NPI number 1780730317
LBN Legal business name Rothgery, Lisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Feb 5th, 2016 - 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 1780730317 NPPES
Colorado MEDICAID 07220511

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