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General NPI Number Information
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NPI Number | 1265659940
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Entity Type | Individual
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Provider Name | LISA K SORENSEN ANP
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Gender | Female
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 02/08/2023
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Provider Practice Location Address
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Address Line | 10101 RIDGEGATE PKWY
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City | LONE TREE
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State | CO
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Zip | 80124-5522
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Country | US
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Telephone | 720-225-1981
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Fax | 720-225-1889
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Provider Business Mailing Address
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Address Line | 1645 GLEN MOOR DR
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City | LAKEWOOD
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State | CO
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Zip | 80215-3033
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Country | US
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Telephone | 720-350-6257
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 95813
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APN.0001749-NP
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License Number State | CO
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