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Stephanie Medina
NPI 1528562402 · on the registry since 2018
Practice
- Address
- 2120 East Lasalle Street
Colorado Springs, CA 80909 - Phone
- (719) 466-4809
Additional practice sites
- 2976 N Academy Blvd, Colorado Springs, CO
- 2989 Broadmoor Valley Rd Ste D, Colorado Springs, CO
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 106E00000X
106S00000X - Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-03-11
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 California