LISA J THACKWELL

COLORADO SPRINGS, CO
NPI1689812257
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA22118)
Enumeration Date2009-02-04
Last Update Date2022-11-30
Business Address
LISA J THACKWELL P.A.-C.
4190 E WOODMEN RD STE 100
COLORADO SPRINGS, CO 80920-8075
Phone number: 719-632-4455
Mailing Address
LISA J THACKWELL P.A.-C.
960 E GREEN ST SUITE 292
PASADENA, CA 91106-2412
Phone number: 626-449-4494
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