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Laurie Marguerite Mediavilla, PA-C
Medical Physician Assistant in Colorado Springs, Colorado
NPI 1568513000

Laurie Marguerite Mediavilla is a Medical Physician Assistant based in Colorado Springs, CO and is specialized in Medical. Laurie Marguerite Mediavilla practices in Colorado Springs, CO and has the professional credentials of PA-C. The NPI Number for Laurie Marguerite Mediavilla is 1568513000 and holds a License No. PA.0001028 (Colorado).

The current practice location address for Laurie Marguerite Mediavilla is 825 E Pikes Peak Ave, Colorado Springs, CO and can be reached out via phone at 719-776-8850 and via fax at 719-776-8854.

Location: 825 E Pikes Peak Ave, Colorado Springs, CO, 80903-3624
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568513000
Provider Name
Laurie Marguerite Mediavilla
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
825 E Pikes Peak Ave, Colorado Springs, CO, 80903-3624
Phone Number
719-776-8850
Fax Number
719-776-8854
Provider Enumeration Date
01/12/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
71906240 05 CO
institution
Provider Business Practice Location Address Details
Address
825 E Pikes Peak Ave
City
Colorado Springs
State
Colorado
Zip
80903-3624
Phone Number
719-776-8850
Fax Number
719-776-8854
person
Provider Business Mailing Address Details
Address
825 E Pikes Peak Ave
City
Colorado Springs
State
Colorado
Zip
80903-3624
Phone Number
719-776-8850
Fax Number
719-776-8854
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
1028 (Colorado)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA.0001028 (Colorado)
Definition
Definition to come...
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