Lisa Jordan, O.D.

NPI #1669453320 in Broomfield, Colorado

Provider Information

NPI Number: 1669453320
Entity Type: Individual
Name: Lisa Jordan, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Nov 9, 2005
Last Updated: Jun 12, 2012

Practice Location

Address: 4 GARDEN CTR
Address 2: STE 100
City: Broomfield
State: Colorado
ZIP Code: 80020-7026
Phone: (303) 469-1941

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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