Provider Demographics
NPI:1083678957
Name:SCHATZ, LISA SHAWN (MD)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:SHAWN
Last Name:SCHATZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4545 E 9TH AVE
Mailing Address - Street 2:460
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-3901
Mailing Address - Country:US
Mailing Address - Phone:303-388-2922
Mailing Address - Fax:303-388-2962
Practice Address - Street 1:4545 E 9TH AVE STE 460
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-3904
Practice Address - Country:US
Practice Address - Phone:303-388-2922
Practice Address - Fax:303-388-2962
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0039605208600000X, 208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
COH49528Medicare UPIN
CO438788Medicare ID - Type Unspecified