Mcgloin, Lisa M

Mcgloin, Lisa M is an individual health care provider with primary practice located at 580 Mohawk Dr , Boulder CO 80303-3712. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Mcgloin, Lisa M can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
580 Mohawk Dr Boulder CO 80303-3712
Phone: (303) 338-4545
Fax: (303) 344-7715
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 45672 Colorado

Profile Details

NPI number 1760538375
LBN Legal business name Mcgloin, Lisa M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Jun 22nd, 2021 - about 5 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 1760538375 NPPES
Colorado Other 028930 KAISER COMMERCIAL NUMBER
Colorado MEDICAID 10224220 KAISER COMMERCIAL NUMBER

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