Provider Demographics
NPI:1033143201
Name:STOLZE, LISE RENEE (MPT)
Entity Type:Individual
Prefix:MRS
First Name:LISE
Middle Name:RENEE
Last Name:STOLZE
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3773 CHERRY CREEK NORTH DR
Mailing Address - Street 2:720
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-3804
Mailing Address - Country:US
Mailing Address - Phone:303-322-9294
Mailing Address - Fax:303-322-9688
Practice Address - Street 1:3773 CHERRY CREEK NORTH DR
Practice Address - Street 2:720
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-3804
Practice Address - Country:US
Practice Address - Phone:303-322-9294
Practice Address - Fax:303-322-9688
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO4508225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist