Doctor Name: | LISA ROBIN RITTEL |
NPI Number: | 1306928478 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DO |
License Number: | 33294 |
Business Practice Address: | 2885 Aurora Avenue Suite 35 Boulder, CO - 80303 |
Business Phone Number: | 3035456500 |
Business Fax Number: | 3035451770 |
Mailing Address: | 2885 Aurora Avenue, Suite 35 BOULDER |
State: | CO |
Postal Code: | 80303 |
Phone Number: | 3035456500 |
Fax Number: | 3035451770 |
NPI Enumeration Date: | 10/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | 33294 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |