SearchColorado224Z00000X

Lisa Baca, COTA

NPI 1356754725 · on the registry since 2014

Practice

Address
409 Benedicta Ave
Trinidad, CO 81082
Phone
(719) 646-9291
Organisation at this address
Trinidad Inn Inc
State Of Colorado
Raza Uddin Od Llc
State Of Colorado
Trinidad Inn, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-06-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado