Lisa Mack

NPI #1154855872 in Thornton, Colorado

Provider Information

NPI Number: 1154855872
Entity Type: Individual
Name: Lisa Mack
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Apr 19, 2017
Last Updated: Apr 19, 2017

Practice Location

Address: 9351 GRANT ST STE 480
City: Thornton
State: Colorado
ZIP Code: 80229-4375
Phone: (720) 841-5168

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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