LISA MACK NPI 1154855872

NPI Information

  • NPI: 1154855872
  • Provider Name: LISA MACK
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 9351 GRANT ST STE 480
    THORNTON, CO
    ZIP 80229
  • Phone: (720) 841-5168

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NPI Details

Lisa Mack is a specialist in Thornton, CO. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Lisa Mack NPI is 1154855872. 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:

9351 GRANT ST STE 480
THORNTON, CO
ZIP 80229-375
Phone: (720) 841-5168

The enumeration date for this NPI number is 4/19/2017 and was last updated on 4/19/2017.

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
1174400000XSpecialistMT.0012506COLORADOYes

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: 11/21/2025

NPI Synchronization or Removal

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