Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 43211 | CO |
NPI | 1073643912 |
---|---|
Provider Name | Ellina Liptsen |
First Address | Denver, CO 80247-1314 |
Second Address | Denver, CO 80218-1114 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2007 |
Last Update Date | 08/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
016320 | KAISER-COMMERCIAL NUMBER (01) | |
43976328 | (05) | CO |
I26349 | (02) | CO |