Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154855872 Individual Practitioner Female Practitioner

Lisa Mack

Specialist • Thornton, CO

Professional Overview & Biography Verified Profile Summary

Lisa Mack is a registered healthcare professional specializing in Specialist in Thornton, CO. Practice services are available at 9351 GRANT ST STE 480 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9351 Grant St Ste 480

Thornton, CO 802294375

Telephone 7208415168
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Thornton, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 33.7 Yrs
Regional Practice Density
16 Specialists

Practicing in Thornton, CO (1204 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CO MT.0012506

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Lelia Jeffries

Specialist

NPI 1487198669
Jennifer Cox

Specialist

NPI 1497299655

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 19, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 19, 2017

Registered at 9351 GRANT ST STE 480, THORNTON, CO 802294375 (Tel: 7208415168)

📍
Updated Business Mailing Address April 19, 2017

Registered at 9351 GRANT ST STE 480, THORNTON, CO 802294375

👤
Provider Name / Credentials Updated April 19, 2017

Recorded as LISA MACK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2017

Specialist (License #MT.0012506 in CO)

🟢
Initial NPI Registration & Enumeration April 19, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154855872
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 19, 2017
Last Update: April 19, 2017
Sole Proprietor: No

Mailing Address

9351 Grant St Ste 480

Thornton, CO 802294375

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.