Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 6901 | CO |
Y | 111NN1001X | Nutrition | 6901 | CO |
NPI | 1356698070 |
---|---|
Provider Name | Dr. Lisa K Holden |
First Address | Denver, CO 80206-7506 |
Second Address | Denver, CO 80206-7506 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2012 |
Last Update Date | 13/08/2012 |