Diamond, Lisa K

Diamond, Lisa K is an individual health care provider with primary practice located at 16420 W Us Highway 24 , Woodland Park CO 80863-8760. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Diamond, Lisa K can be contacted via phone (719) 687-9999.

Contact Information

Primary practice address
16420 W Us Highway 24 Woodland Park CO 80863-8760
Phone: (719) 687-9999
Fax: (719) 686-5725
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2481 Colorado

Profile Details

NPI number 1154339315
LBN Legal business name Diamond, Lisa K
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Feb 28th, 2012 - about 13 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 1154339315 NPPES
Colorado MEDICAID 49436236

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