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1962416255
LISA R. PONFICK
FORT COLLINS, CO
NPI
1962416255
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: CO DR.0071115)
Enumeration Date
2006-07-29
Last Update Date
2024-07-24
Business Address
LISA R. PONFICK MD
4856 INNOVATION DR
FORT COLLINS, CO 80525-5539
Phone number: 970-494-4200
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Mailing Address
LISA R. PONFICK MD
4856 INNOVATION DR
FORT COLLINS, CO 80525-5539
Phone number: 970-494-4200
Copy
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