Healthcare Provider Details

I. General information

NPI: 1811963895
Provider Name (Legal Business Name): LISA MARIE TOEPP M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/28/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 COCHRANE CIR USA MEDDAC, EVANS ARMY COMMUN
FORT CARSON CO
80913-4603
US

IV. Provider business mailing address

1650 COCHRANE CIR USA MEDDAC, EVANS ARMY COMMUN
FORT CARSON CO
80913-4603
US

V. Phone/Fax

Practice location:
  • Phone: 719-526-7844
  • Fax: 719-526-7984
Mailing address:
  • Phone: 719-526-7844
  • Fax: 719-526-7984

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number33136
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number33136
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: