National Provider Identifier Database

GWEN H LISELLA, MD – NPI #1457397440
Radiation Oncology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.


Contact Information

GWEN H LISELLA, MD
2121 E HARMONY RD
STE 160
FORT COLLINS, CO80528-3400
Phone: 970-482-3328
Fax: 970-482-1433
Website:
Specialty Taxonomy Code
* Radiation Oncology 2085R0001X

* Indicates primary specialty

NPI Profile & details for GWEN H LISELLA

NPI Number 1457397440
Credentials MD
Entity Individual
Enumeration date 06/20/2006
Last updated 01/26/2015 - About 11 years ago
Sole proprietor1 No
Identifiers
  • CO License #: 33989
  • CO Medicaid: 01339894
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for GWEN H LISELLA, MD

There are currently no reviews for GWEN H LISELLA, MD


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