Lisa a Iacofano MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

31267 Issued in CO

Legal business name

LISA A IACOFANO MD PC

Practice address

335 W South Boulder Rd
Suite 6
Louisville, CO 80027-1196

Phone

(303) 665-0900

Fax

(303) 926-1986

NPI assigned

Jun 3, 2008

Last updated

Jan 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Ann Iacofano, M.D.NPI 1508891011

Title

Owner/Physician

Phone

(303) 665-0900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa A Iacofano, MD

  • Internal Medicine Physician
  • Louisville, CO
  • NPI 1508891011
  Authorized official Same address or phone

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579651200000",
    "number": "1760641070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21150",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803084150",
            "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 W SOUTH BOULDER RD",
            "address_2": "SUITE 6",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271196",
            "telephone_number": "303-665-0900",
            "fax_number": "303-926-1986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA A IACOFANO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A",
        "authorized_official_last_name": "IACOFANO",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "303-665-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "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": []
}

• Jennifer P. Lieb, P.T.
• Sara Lieppe, PSY.D.
• Jay Sagona Lindsay, PH.D.
• Matthew Jay Lindsay
• Ronald A Linton, M.D.
• Thomas Lischwe, M.D.
• Janet Kyle Liston, L.AC, RN
• Little Bridges Therapy PLLC.
• Christy Lochary, LMFT
• Andrea Lockhart, PH.D.

• 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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.