LISA RAE MCCULLOUGH

COLORADO SPRINGS, CO
NPI1861657280
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LN0000X Nurse Practitioner, Neonatal
(Licence: CO  5336)
Enumeration Date2008-07-24
Last Update Date2008-07-24
Business Address
-- LISA RAE MCCULLOUGH NP
1400 E BOULDER ST
COLORADO SPRINGS, CO 80909-5533
Phone number: 719-447-8812
Mailing Address
-- LISA RAE MCCULLOUGH NP
4722 N 24TH ST STE 150
PHOENIX, AZ 85016-4800
Phone number: 877-737-4546