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Search › Colorado › 363A00000X

Laurie Mediavilla, P.A.-C

NPI 1568513000 · on the registry since 2007

Practice

Address
825 E Pikes Peak Ave
Colorado Springs, CO 80903
Phone
(719) 776-8850
Fax
(719) 776-8854
Organisation at this address
Catholic Health Iniatives Colorado
Catholic Health Initiatives Colorado
Catholic Health Initiatives Colorado
Catholic Health Initiatives Colorado
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363AM0700X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-12-16

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 Colorado