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Mrs. Lisa Clough, FNP
Family Nurse Practitioner in Pueblo, Colorado
NPI 1841459690

Lisa Clough is a Family Nurse Practitioner based in Pueblo, CO and is specialized in Family. Lisa Clough practices in Pueblo, CO and has the professional credentials of FNP. The NPI Number for Lisa Clough is 1841459690 and holds a License No. 5716 (Colorado).

The current practice location address for Lisa Clough is 3676 Parker Blvd, Pueblo, CO and can be reached out via phone at 719-553-2201 and via fax at 719-553-2224.

Location: 3676 Parker Blvd, Pueblo, CO, 81008-9000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841459690
Provider Name
Lisa Clough
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
3676 Parker Blvd, Pueblo, CO, 81008-9000
Phone Number
719-553-2201
Fax Number
719-553-2224
Provider Enumeration Date
06/06/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5716 01 CO STATE LISCENSE
institution
Provider Business Practice Location Address Details
Address
3676 Parker Blvd
City
Pueblo
State
Colorado
Zip
81008-2212
Phone Number
719-553-2201
Fax Number
719-553-2224
person
Provider Business Mailing Address Details
Address
3676 Parker Blvd
City
Pueblo
State
Colorado
Zip
81008-2212
Phone Number
719-553-2201
Fax Number
719-553-2224
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
5716 (Colorado)
Definition
Definition to come...
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