Individual provider · Type 1 NPI

Lisa Mack

Specialist · Thornton, CO

NPI number 1154855872 Active

Practice location

9351 Grant St Ste 480
Thornton, CO 80229-4375

Call (720) 841-5168 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMT.0012506 (CO)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1154855872

Lisa Mack's National Provider Identifier is 1154855872, issued on Apr 19, 2017. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Thornton, CO. The record was last updated on Apr 19, 2017.