MRS. LISA MARIE DUDZIK FNP-C. NPI 1700946720

NPI Information

NPI: 1700946720
Provider Name: MRS. LISA MARIE DUDZIK, FNP-C.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: PEAK NEUROLOGY CORP PC

PECOS Registration: Yes

Address:
5770 FLINTRIDGE DR STE 100
COLORADO SPRINGS, CO
ZIP 80918
Phone: (719) 445-9902
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MRS. Lisa Marie Dudzik, FNP-C. is a family nurse practitioner in Colorado Springs, CO with 19 years of experience. MRS. Lisa Marie Dudzik, FNP-C. NPI is 1700946720. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5770 FLINTRIDGE DR STE 100
COLORADO SPRINGS, CO
ZIP 80918-870
Phone: (719) 445-9902
Fax: (719) 487-0005

The NPI 1700946720 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 3/1/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	APN.0010368-NP	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9000157056	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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