Provider Demographics
NPI:1013998095
Name:ZWERDLINGER, LISA P (MD)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:P
Last Name:ZWERDLINGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:735 US HIGHWAY 24
Mailing Address - Street 2:
Mailing Address - City:LEADVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80461-3978
Mailing Address - Country:US
Mailing Address - Phone:719-486-0500
Mailing Address - Fax:719-486-3966
Practice Address - Street 1:735 US HIGHWAY 24
Practice Address - Street 2:
Practice Address - City:LEADVILLE
Practice Address - State:CO
Practice Address - Zip Code:80461-3978
Practice Address - Country:US
Practice Address - Phone:719-486-0500
Practice Address - Fax:719-486-3966
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2009-11-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO35578207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
COG39570Medicare UPIN
C801830Medicare PIN