Individual provider · Type 1 NPI
Lisa Marie Oldham, MD
Gynecology Physician · Craig, CO
NPI number
1689636904
Active
Practice location
750 Hospital Loop
Craig, CO 81625-8750
Mailing address
7447 W Talcott Ave Ste 454
Chicago, IL 60631-3715
Other practice locations
- 7447 W Talcott Ave Ste 454, Chicago, IL 60631-3715 · (773) 631-5767
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gynecology Physician | 207VG0400X | 036-105494 (IL) |
| Gynecology Physician Primary | 207VG0400X | DR.0076480 (CO) |
Gynecology Physician: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
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About NPI 1689636904
Lisa Marie Oldham, MD's National Provider Identifier is 1689636904, issued on Apr 3, 2006. The primary taxonomy on file is Gynecology Physician (207VG0400X), and the practice location is in Craig, CO. The record was last updated on Oct 7, 2026.