Lisa Mack

Specialist · Thornton, CO

Individual Active NPI

NPI number 1154855872

Practice location

9351 Grant St Ste 480
Thornton, CO 80229-4375
Phone
(720) 841-5168

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NPI record

NPI
1154855872
Entity type
Individual (Type 1)
Enumeration date
April 19, 2017
Last updated
April 19, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X MT.0012506 CO

About Lisa Mack

Lisa Mack is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 9351 Grant St Ste 480, Thornton, CO 80229-4375. The NPI number 1154855872 was assigned on April 19, 2017 and the record was last updated on April 19, 2017.

Lisa Mack lists a license in the registry: #MT.0012506 (CO) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lisa Mack?

The NPI number is 1154855872.

What is the phone number of Lisa Mack?

The phone number listed for the practice location is (720) 841-5168.

Where is Lisa Mack located?

9351 Grant St Ste 480, Thornton, CO 80229-4375.

What is the taxonomy code for Lisa Mack?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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