Gwen H Lisella in Fort Collins - Radiation Oncology

Gwen H Lisella - NPI 1457397440

Gwen H Lisella is a Radiation Oncology in Fort Collins, Colorado. Gwen H Lisella practices all healthcare services and medical treatments related to Radiation Oncology. The NPI Number for Gwen H Lisella is 1457397440. The last update date is 2015-01-26.

Gwen H Lisella's current location address is 2121 E Harmony Rd, Fort Collins, Colorado. You can contact this provider via phone number 9704823328 and fax number 9704821433. The mailing address for Gwen H Lisella is 2121 E Harmony Rd, Fort Collins, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Gwen H Lisella
Address 2121 E Harmony Rd, Fort Collins, Colorado
Phone Number 9704823328
Fax Number 9704821433
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1457397440
Provider Enumeration Date 2006-06-20
Last Updated Date 2015-01-26

Provider Mailing Address Detail

Address 2121 E Harmony Rd
City Fort Collins
State Colorado (CO)
Post Code 805283400
Phone Number 9704823328
Fax Number 9704821433

Provider's Primary Taxonomy Detail

Speciality Radiation Oncology
Taxonomy 2085R0001X
Licence No 33989
Definition:
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1339894 CO --

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FAQs about Gwen H Lisella

What is the unique provider identifier assigned to Gwen H Lisella?

The Gwen H Lisella has been issued the NPI (National Provider Identifier) 1457397440 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Gwen H Lisella's facilities are geographically located?

The facilities of Gwen H Lisella are physically situated at the following location: 2121 E Harmony Rd, Fort Collins, CO, 805283400.

What is Gwen H Lisella's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Gwen H Lisella's specialized field of practice is Radiation Oncology, and the corresponding taxonomy code that categorizes this area of specialization is 2085R0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1457397440 to Gwen H Lisella?

The Centers for Medicare & Medicaid Services originally issued the 1457397440 to Gwen H Lisella on 2006-06-20.

When was the information regarding Gwen H Lisella, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Gwen H Lisella, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-01-26.

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