Healthcare Provider Details

I. General information

NPI: 1114106416
Provider Name (Legal Business Name): LISA J LASH PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2007
Last Update Date: 11/02/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16601 E CENTRETECH PKWY
AURORA CO
80011-9045
US

IV. Provider business mailing address

4103 S QUATAR ST
AURORA CO
80018-3130
US

V. Phone/Fax

Practice location:
  • Phone: 303-344-7032
  • Fax: 303-739-3574
Mailing address:
  • Phone: 720-277-6961
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number15648
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: