Provider Information for 1609970706
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LISA IRENE WILLIAMS LPC
Other Names:Former Name:LISA IRENE GAY MASex: Female
NPI: 1609970706
Last Updated: 2021-06-22
Certification Date: 2021-06-22
Certification Date: 2021-06-22
Details
| Name | Value | ||||||||||||||
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| NPI | 1609970706 | ||||||||||||||
| Enumeration Date | 2006-09-11 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | YES | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 10350 E DAKOTA AVE DENVER, CO 80247-1314 United States Phone: | Fax: | ||||||||||||||
| Primary Practice Address | 9139 RIDGELINE BLVD HIGHLANDS RANCH, CO 80129-2333 United States Phone: 303-338-4545 | Fax: | ||||||||||||||
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