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1326098302

NPI Code Detail

MEDICARE: DR. LISA M. MASSON MD

MEDICARE: DR. LISA M. MASSON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine	G59301	CA
2	207Q00000X	Family Medicine	0054397	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	025997	OTHER	CO	KAISER COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1326098302
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LISA M. MASSON MD

Provider Business Mailing Address
First Line	:	16290 E QUINCY AVE
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80015-1594
Country	:	US
Telephone Number	:	303-338-4545
Fax Number	:

Provider Business Practice Location Address
First Line	:	16290 E QUINCY AVE
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80015-1594
Country	:	US
Telephone Number	:	303-338-4545
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	07/23/2015

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Directions to “ DR. LISA M. MASSON MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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