Provider Demographics
NPI:1700086865
Name:SCHAFFER, LISA E (DDS)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:E
Last Name:SCHAFFER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3545 QUEBEC ST STE 110
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80207-1603
Mailing Address - Country:US
Mailing Address - Phone:303-931-3369
Mailing Address - Fax:303-278-3910
Practice Address - Street 1:3545 QUEBEC ST #110
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80238
Practice Address - Country:US
Practice Address - Phone:303-278-3353
Practice Address - Fax:303-278-3910
Is Sole Proprietor?:No
Enumeration Date:2007-07-18
Last Update Date:2016-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO94881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice