Individual provider · Type 1 NPI

Lisa Gauthier

Clinic/Center · Aurora, CO

NPI number 1720519499 Active

Practice location

2500 S Havana St, Waterpark 1
Aurora, CO 80014-1618

Call (303) 614-1530 Map

Mailing address

10611 Hyacinth St
Highlands Ranch, CO 80129-4662

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000X01736 (CO)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1720519499

Lisa Gauthier's National Provider Identifier is 1720519499, issued on Mar 24, 2017. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Aurora, CO. The record was last updated on Mar 24, 2017.