Provider Demographics
NPI:1245433564
Name:FISH, LINDSEY ELIZABETH (MD)
Entity type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:ELIZABETH
Last Name:FISH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LINDSEY
Other - Middle Name:ELIZABETH
Other - Last Name:FISH DE PENA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:P.O. BOX 392005
Mailing Address - Street 2:3600 HAVANA ST. DENVER WOMEN'S CORRECTIONAL FACILITY
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80239
Mailing Address - Country:US
Mailing Address - Phone:303-307-2611
Mailing Address - Fax:303-307-2607
Practice Address - Street 1:777 BANNOCK ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-4597
Practice Address - Country:US
Practice Address - Phone:303-602-0013
Practice Address - Fax:303-602-0211
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2024-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO47486207R00000X
CO047486207R00000X
CODR-47486207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine