MEDICARE: LISA KAY ADAMS MPAS, PA

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	363AM0700X	Medical Physician Assistant	PA.200664	LA
2	363AM0700X	Medical Physician Assistant	AMD-1287	HI
3	363AM0700X	Medical Physician Assistant	PA.0004230	CO
4	363A00000X	Physician Assistant	PA.0004230	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

General Provider Information

NPI Number	:	1851726681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA KAY ADAMS MPAS, PA

Provider Business Mailing Address
First Line	:	2695 ROCKY MOUNTAIN AVE STE 150
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80538-9071
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	525 BOB PETERS GRV STE 202
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80909-4533
Country	:	US
Telephone Number	:	719-365-6568
Fax Number	:	719-365-6317

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

Provider Enumeration Date	:	09/11/2013
Last Update Date	:	05/04/2026

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Directions to “ LISA KAY ADAMS MPAS, PA” Practice Location

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