Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 07244 | TX |
NPI | 1194316372 |
---|---|
Provider Name | Lisa M Holowiski |
First Address | Greenwood Village, CO 80111-2608 |
Second Address | Greenwood Village, CO 80111-2608 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2021 |
Last Update Date | 29/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
07244 | TEXAS LICENCE (01) | TX |