Lisa Provenza
Lisa Provenza is a Counselor in Pueblo, Colorado. Practices as a sole proprietor. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
1302 Chinook LnPueblo, CO 81001-1851
Phone: (719) 545-2746
Fax: (719) 545-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1740524271 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 21, 2012 |
| Last updated in NPPES | November 21, 2012 |
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