Provider Demographics
NPI:1124855986
Name:LAUNER, LISA NICOLE
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:NICOLE
Last Name:LAUNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4999 S PRINCE CT APT 302
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-7769
Mailing Address - Country:US
Mailing Address - Phone:956-844-6154
Mailing Address - Fax:
Practice Address - Street 1:750 W HAMPDEN AVE STE 375
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80110-2221
Practice Address - Country:US
Practice Address - Phone:303-578-6318
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program