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LAURIE MEDIAVILLA, P.A.-C

P.A.-C

Physician Assistant

NPI: 1568513000Individual

Specialties, Licenses & Credentials

Physician Assistant

Code: 363A00000X

PA.0001028(CO)

Physician Assistant — Medical

Code: 363AM0700X

1028(CO)

Contact & Hours

Address
825 E PIKES PEAK AVE
COLORADO SPRINGS, CO 80903

Quick Facts

NPI
1568513000
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
2
Locations
1

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