LAURIE MEDIAVILLA, P.A.-C

Physician Assistant

Active Individual
NPI: 1568513000

Practice Address

825 E PIKES PEAK AVE
Colorado Springs, CO 80903

Phone: (719) 776-8850

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes PA.0001028 (CO)
Physician Assistant - Medical 363AM0700X No 1028 (CO)

Frequently Asked Questions

NPI 1568513000 is the National Provider Identifier for LAURIE MEDIAVILLA, P.A.-C, a Physician Assistant provider located in Colorado Springs, CO. This NPI was enumerated on January 12, 2007.
LAURIE MEDIAVILLA, P.A.-C practices at 825 E PIKES PEAK AVE, Colorado Springs, CO 80903.

Quick Facts

NPI
1568513000
Type
Individual
Enumerated
Jan 12, 2007
Last Updated
Dec 16, 2019

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