person
Lisa Rae Mccullough, NP
Neonatal Nurse Practitioner in Colorado Springs, Colorado
NPI 1861657280

Lisa Rae Mccullough is a Neonatal Nurse Practitioner based in Phoenix, CO and is specialized in Neonatal. Lisa Rae Mccullough practices in Colorado Springs, CO and has the professional credentials of NP. The NPI Number for Lisa Rae Mccullough is 1861657280 and holds a License No. 5336 (Colorado).

The current practice location address for Lisa Rae Mccullough is 1400 E Boulder St, Colorado Springs, CO and can be reached out via phone at 719-447-8812 and via fax at 719-447-8987. You can also correspond with Lisa Rae Mccullough through the mailing address at 4722 N 24TH ST, PHOENIX, AZ - 85016-4800 (mailing address contact number: 877-737-4546).

Location: 1400 E Boulder St, Colorado Springs, CO, 85016-4800
person
Provider Profile Details
NPI Number
1861657280
Provider Name
Lisa Rae Mccullough
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1400 E Boulder St, Colorado Springs, CO, 85016-4800
Phone Number
719-447-8812
Fax Number
719-447-8987
Provider Enumeration Date
07/24/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1400 E Boulder St
City
State
Zip
80909-5533
Phone Number
719-447-8812
Fax Number
719-447-8987
person
Provider Business Mailing Address Details
Address
4722 N 24Th St
City
State
Zip
85016-4800
Phone Number
877-737-4546
Fax Number
602-957-9438
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal
Taxonomy
License No.
5336 (Colorado)
Definition
Definition to come...
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