SearchColorado103K00000X

Kaylie Jo Lavarias

NPI 1841866241 · on the registry since 2021 · sole proprietor

Practice

Address
2233 Academy Pl Ste 200
Colorado Springs, CO 80909
Phone
(719) 822-0620
Organisation at this address
Buck Jack Llc
Buck Jack Llc
Buck Jack Llc
Buck Jack, Llc
Buck Jack, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
202

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-02-21

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