Healthcare Provider Details

I. General information

NPI: 1083678957
Provider Name (Legal Business Name): LISA SHAWN SCHATZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2006
Last Update Date: 01/27/2022
Certification Date: 08/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4545 E 9TH AVE STE 460
DENVER CO
80220-3904
US

IV. Provider business mailing address

4545 E 9TH AVE 460
DENVER CO
80220-3901
US

V. Phone/Fax

Practice location:
  • Phone: 303-388-2922
  • Fax: 303-388-2962
Mailing address:
  • Phone: 303-388-2922
  • Fax: 303-388-2962

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberDR.0039605
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License NumberDR.0039605
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: