Individual provider · Type 1 NPI
Lisa Marie Wright, PA
Surgical Physician Assistant · Boulder, CO
NPI number
1467758557
Active
Practice location
4799 Essex Cir
Boulder, CO 80301-4136
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 014506 (NY) |
| Surgical Physician Assistant Primary | 363AS0400X | 3368 (CO) |
Surgical Physician Assistant: Definition to come...
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About NPI 1467758557
Lisa Marie Wright, PA's National Provider Identifier is 1467758557, issued on Feb 7, 2011. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Boulder, CO. The record was last updated on May 7, 2014.