Lisa A Iacofano, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

31267 Issued in CO

Practice address

335 South Boulder Road
Suite 6
Louisville, CO 80027

Phone

(303) 665-0900

Fax

(303) 926-1986

NPI assigned

Jul 12, 2006

Last updated

Jan 31, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lisa a Iacofano MD PC

  • Internal Medicine Physician
  • Louisville, CO
  • NPI 1760641070
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1508891011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 SOUTH BOULDER ROAD",
            "address_2": "SUITE 6",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "80027",
            "telephone_number": "303-665-0900",
            "fax_number": "303-926-1986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 SOUTH BOULDER ROAD",
            "address_2": "SUITE 6",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "80027",
            "telephone_number": "303-665-0900",
            "fax_number": "303-926-1986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IACOFANO",
        "first_name": "LISA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "31267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01312677",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanna Lynn Hurd, DDS
• Leanna Nicole Hutto, FNP
• Long Phi Huynh, MD
• Lyly Bicti Huynh, P.T.
• Lisa C Hymes, MSPT, DPT, PCS
• Kris K Iganian, D.D.S.
• Integrated Pediatric Therapies, P.C.
• Integrative Family Medicine PC
• Nicole A Irlbeck, MS, ATC
• Michael A. Israelson, D.D.S.

• Internal Medicine Physician in Louisville, CO
• Providers in Louisville, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.