Runzo, Lisa M

Runzo, Lisa M is an individual health care provider with primary practice located at 5360 N Academy Blvd Suite 130, Colorado Springs CO 80918-4006. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Runzo, Lisa M can be contacted via phone (719) 227-7477.

Contact Information

Primary practice address
5360 N Academy Blvd Suite 130 Colorado Springs CO 80918-4006
Phone: (719) 227-7477
Fax: (719) 227-7474
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT.0001193 Colorado
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC.0012170 Colorado

Profile Details

NPI number 1023362944
LBN Legal business name Runzo, Lisa M
Credentials MA, LPC, LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2012
Last updated May 18th, 2016 - about 10 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 1023362944 NPPES
Colorado Other 12665446 CAQH

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