| Doctor Name: | LISA K DIAMOND |
| NPI Number: | 1154339315 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 2481 |
| Business Practice Address: | 16420 W Us Highway 24 Woodland Park, CO - 808638760 |
| Business Phone Number: | 7196879999 |
| Business Fax Number: | 7196865725 |
| Mailing Address: | 720 W Us Highway 24, WOODLAND PARK |
| State: | CO |
| Postal Code: | 808638968 |
| Phone Number: | 7196860878 |
| Fax Number: | 7196867331 |
| NPI Enumeration Date: | 08/04/2006 |
| NPI Last Update Date: | 02/28/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 2481 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |