Lisa Marie Thompson, NP | |
412 N C St, Cripple Creek, CO 80813-5052 | |
(719) 820-7740 | |
Not Available |
Full Name | Lisa Marie Thompson |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 412 N C St, Cripple Creek, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457048266 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | APN.0998434-NP (Colorado) | Secondary |
363LF0000X | Nurse Practitioner - Family | APN.0998434-NP (Colorado) | Primary |
Entity Name | The Little Clinic Of Colorado Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538354568 PECOS PAC ID: 5597821280 Enrollment ID: O20090304000640 |
Entity Name | Gorman Medical Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588089718 PECOS PAC ID: 1557583135 Enrollment ID: O20141114001691 |
Mailing Address | Practice Location Address |
---|---|
Lisa Marie Thompson, NP 5055 Stillwater Dr, Colorado Spgs, CO 80923-7602 Ph: (719) 201-1333 | Lisa Marie Thompson, NP 412 N C St, Cripple Creek, CO 80813-5052 Ph: (719) 820-7740 |
Mrs. Alessandra Marie Bullis, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 412 N C St, Cripple Creek, CO 80813 Phone: 719-776-4310 Fax: 719-776-4320 | |
Mrs. Jill Elaine Saylor, FNP-BC, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1101 County Road 1, Cripple Creek, CO 80813 Phone: 719-689-7763 Fax: 719-689-5704 | |
Ambyr Dawn Hodkins, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 412 N C St, Cripple Creek, CO 80813 Phone: 719-820-7740 Fax: 719-358-8299 |