Most Relevant Information
Provider Data
| NPI Number: | 1003553983 |
| Provider Name: | ELLEN LIEBGOLD |
| Entity Type: | Individual |
| Taxonomy Code: | 246ZC0007X |
| Specialty: | Specialist/Technologist, Other |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/12/2022 |
| Last Updated: | 05/12/2022 |
Provider Practice Location
200 EXEMPLA CIR
LAFAYETTE
CO
800263370
Practice Location Phone/Fax
| Phone: | 3036894000 |
| Fax: |
Provider Mailing Location
10513 MADISON ST
THORNTON
CO
802334470
Provider Mailing Phone/Fax
| Phone: | 3035010449 |
| Fax: |