Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | OPT 1904 | CO |
NPI | 1003980855 |
---|---|
Provider Name | Dr. Lisa Marie Hamilton |
First Address | Littleton, CO 80123-9522 |
Second Address | Littleton, CO 80123-9522 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2006 |
Last Update Date | 08/07/2007 |