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Lisa Boffa P.l.l.c.
Psychiatric/Mental Health Nurse Practitioner in Montrose, Colorado
NPI 1912642588

Lisa Boffa P.l.l.c. is a Psychiatric/Mental Health Nurse Practitioner based in Montrose, CO and is specialized in Psychiatric/Mental Health. Lisa Boffa P.l.l.c. practices in Montrose, CO. The NPI Number for Lisa Boffa P.l.l.c. is 1912642588 and holds a License No. (Colorado).

The current practice location address for Lisa Boffa P.l.l.c. is 715 S 1St St, Montrose, CO and can be reached out via phone at 970-964-8653 and via fax at 970-249-8495.

Location: 715 S 1St St, Montrose, CO, 81401-3914
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912642588
Provider Name
Lisa Boffa P.l.l.c.
Credential
Provider Entity Type
Organization
Address
715 S 1St St, Montrose, CO, 81401-3914
Phone Number
970-964-8653
Fax Number
970-249-8495
Provider Enumeration Date
04/28/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1942508635 05 CO
institution
Provider Business Practice Location Address Details
Address
715 S 1St St
City
Montrose
State
Colorado
Zip
81401-3914
Phone Number
970-964-8653
Fax Number
970-249-8495
person
Provider Business Mailing Address Details
Address
715 S 1St St
City
Montrose
State
Colorado
Zip
81401-3914
Phone Number
970-964-8653
Fax Number
970-249-8495
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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