Provider Demographics
NPI:1376578716
Name:STIMMEL, LISA JANE (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:JANE
Last Name:STIMMEL
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Gender:F
Credentials:DDS, MS
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Mailing Address - Street 1:8024 S ALBION ST
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80122-3900
Mailing Address - Country:US
Mailing Address - Phone:303-771-8300
Mailing Address - Fax:303-771-2298
Practice Address - Street 1:8194 S HOLLY ST
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80122-4004
Practice Address - Country:US
Practice Address - Phone:303-771-8300
Practice Address - Fax:303-771-2298
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO067081223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry