MEDICARE: LISA BUCKNER OT

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	225X00000X	Occupational Therapist	OT.0001228	CO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00762469	OTHER	CO	RR MEDICARE

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
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518047141
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA BUCKNER OT

Provider Business Mailing Address
First Line	:	3324 GREEN LAKE DR UNIT 1
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80524-8850
Country	:	US
Telephone Number	:	970-481-6340
Fax Number	:

Provider Business Practice Location Address
First Line	:	3324 GREEN LAKE DR UNIT 1
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80524-8850
Country	:	US
Telephone Number	:	970-481-6340
Fax Number	:

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

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	10/19/2020

Similar Medicare Providers

1114994688 — DVA HEALTHCARE RENAL CARE INC
Practice Location Address:

8850 GLADIOLUS DR
FORT MYERS, FL
33908-5102

Practice Phone: 239-415-1661
Practice Fax: 239-415-7440

1598712887 — MR. DAVID JOHN MORGAN SR. RPH
Practice Location Address:

5584 S WISHING WELL DR
FORT MOHAVE, AZ
86426-8850

Practice Phone: 928-208-2380
Practice Fax:

1427832120 — MS. MADISON ROSE BURKE M.S. CCC-SLP
Practice Location Address:

8850 ELBE TRL
FORT WORTH, TX
76118-7408

Practice Phone: 817-399-3434
Practice Fax:

1093374092 — POUDRE VALLEY HEALTH CARE INC.
Practice Location Address:

1500 S LEMAY AVE
FORT COLLINS, CO
80524-4262

Practice Phone: 970-495-8780
Practice Fax:

1013496835 — MRS. STEPHENY N LAMBLIN LPC, LAC,NCC, EMDRC
Practice Location Address:

140 W OAK ST STE 280
FORT COLLINS, CO
80524-2877

Practice Phone: 970-430-6522
Practice Fax: 970-797-1009

1124751342 — KARLEY BOLTJES FNP
Practice Location Address:

900 EGGLESTON ST
FORT COLLINS, CO
80524-9615

Practice Phone: 970-567-3240
Practice Fax:

Directions to “ LISA BUCKNER OT” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.