Lisa S Gutterman, MS, RD | |
1960 N Ogden St Ste 460, Denver, CO 80218-3670 | |
(303) 318-2501 | |
Not Available |
Full Name | Lisa S Gutterman |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 1960 N Ogden St Ste 460, Denver, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730895632 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 857952 (Colorado) | Primary |
Provider Name | Uptown Community Health Center Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1598408973 PECOS PAC ID: 4183090152 Enrollment ID: O20221015000144 |
Mailing Address | Practice Location Address |
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Lisa S Gutterman, MS, RD 798 Jasmine St, Denver, CO 80220-5350 Ph: (303) 570-5897 | Lisa S Gutterman, MS, RD 1960 N Ogden St Ste 460, Denver, CO 80218-3670 Ph: (303) 318-2501 |
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