Waugh, Lisa J

Waugh, Lisa J is an individual health care provider with primary practice located at 3482 Broadway St , Boulder CO 80304-1824. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Waugh, Lisa J can be contacted via phone (303) 413-7500.

Contact Information

Primary practice address
3482 Broadway St Boulder CO 80304-1824
Phone: (303) 413-7500
Fax: (303) 441-1452
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 79057 Colorado

Profile Details

NPI number 1194727784
LBN Legal business name Waugh, Lisa J
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Jul 9th, 2007 - about 18 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 1194727784 NPPES
Colorado MEDICAID 51304341

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