Lisa M Devore

Individual provider Active NPI Registered Nurse · Lafayette, CO

NPI 1669045217 · NPPES record last updated Jul 21, 2021

Key facts

NPI
1669045217
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
88526 (CO)
Practice address
280 Exempla Cir
Lafayette, CO 80026-3370
Phone
(303) 338-4545
NPI assigned
Jul 21, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
88526COMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 88526 CO Yes

Addresses

Primary practice location

280 Exempla Cir
Lafayette, CO 80026-3370

Mailing address

6538 Poppy St
Arvada, CO 80007-6954
Phone (303) 941-2626

Other providers in Lafayette, CO

All providers in Lafayette, CO · Registered Nurse in Colorado

Sources for this page

Verify at the official NPI Registry.