Wallis, Lisa

Wallis, Lisa is an individual health care provider with primary practice located at 2001 S Shields St Ste G , Fort Collins CO 80526-1834. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Wallis, Lisa can be contacted via phone (970) 494-4200.

Contact Information

Primary practice address
2001 S Shields St Ste G Fort Collins CO 80526-1834
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1659775724
LBN Legal business name Wallis, Lisa
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2014
Last updated Jun 3rd, 2019 - about 6 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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