Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | DR.0064696 | CO |
N | 2086S0122X | Plastic and Reconstructive Surgery | MT206377 | PA |
NPI | 1003220849 |
---|---|
Provider Name | Dr. Cassandra Alys Ligh |
First Address | Denver, CO 80247-1314 |
Second Address | Denver, CO 80205-5437 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2014 |
Last Update Date | 14/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
029053 | KAISER COMMERCIAL NUMBER (01) | CO |