LISA MARIE WRIGHT PA
NPI 1467758557
Physician Assistant - Surgical in Boulder, CO
Active since February 07, 2011
About Lisa Marie Wright Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA MARIE WRIGHT PA (NPI 1467758557) is an individual surgical provider in Boulder, Colorado, licensed in Colorado (3368) and active in the NPI registry since February 2011.
NPPES Registry Identity
NPI1467758557
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameLISA MARIE WRIGHTCredential: PA
Location Address4799 ESSEX CIRBoulder, CO 80301-4136
Mailing Address4799 Essex CirBoulder, CO 80301-4136 · (970) 390-5525
Phone(970) 390-5525
Sole ProprietorNo
Enumeration DateFebruary 7, 2011
Last NPPES UpdateMay 7, 2014
✔ NPI 1467758557 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses✔ Licensed in CO · 3368✔ Licensed in NY · 014506
4799 ESSEX CIR, Boulder, CO 80301
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467758557, enumerated as an "individual" on February 07, 2011.
The provider is located at 4799 ESSEX CIR BOULDER, CO 80301 and the phone number is (970) 390-5525.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.
