Healthcare Provider Details

I. General information

NPI: 1851764583
Provider Name (Legal Business Name): LISA ROMERO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2015
Last Update Date: 11/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5500 S SYCAMORE ST
LITTLETON CO
80120-8201
US

IV. Provider business mailing address

5500 S SYCAMORE ST
LITTLETON CO
80120-8201
US

V. Phone/Fax

Practice location:
  • Phone: 720-771-3521
  • Fax: 303-703-3487
Mailing address:
  • Phone: 720-771-3521
  • Fax: 303-703-3487

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: