Laurie Marguerite Mediavilla in Colorado Springs - Medical
Laurie Marguerite Mediavilla - NPI 1568513000
Laurie Marguerite Mediavilla is a Medical in Colorado Springs, Colorado. Laurie Marguerite Mediavilla practices all healthcare services and medical treatments related to Medical. The NPI Number for Laurie Marguerite Mediavilla is 1568513000. The last update date is 2019-12-16.
Laurie Marguerite Mediavilla's current location address is 825 E Pikes Peak Ave, Colorado Springs, Colorado. You can contact this provider via phone number 7197768850 and fax number 7197768854. The mailing address for Laurie Marguerite Mediavilla is 825 E Pikes Peak Ave, Colorado Springs, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laurie Marguerite Mediavilla |
|---|---|
| Address | 825 E Pikes Peak Ave, Colorado Springs, Colorado |
| Phone Number | 7197768850 |
| Fax Number | 7197768854 |
| Sole Proprietor | N |
| Credentials | P.A.-C |
NPI Number Detail
| NPI Number | 1568513000 |
|---|---|
| Provider Enumeration Date | 2007-01-12 |
| Last Updated Date | 2019-12-16 |
Provider Mailing Address Detail
| Address | 825 E Pikes Peak Ave |
|---|---|
| City | Colorado Springs |
| State | Colorado (CO) |
| Post Code | 809033624 |
| Phone Number | 7197768850 |
| Fax Number | 7197768854 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 1028 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 71906240 | CO | -- |
Post Comment/ Review Below
What is the Laurie Marguerite Mediavilla's unique identification number?
The Laurie Marguerite Mediavilla has been assigned the NPI (National Provider Identifier) Number 1568513000 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Laurie Marguerite Mediavilla's facilities are situated?
The facilities of Laurie Marguerite Mediavilla are physically located at the following address: 825 E Pikes Peak Ave, Colorado Springs, CO, 809033624.
What is Laurie Marguerite Mediavilla's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Laurie Marguerite Mediavilla is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1568513000 to Laurie Marguerite Mediavilla?
The Centers for Medicare & Medicaid Services originally issued the 1568513000 to Laurie Marguerite Mediavilla on 2007-01-12.
As of what date were the details related to Laurie Marguerite Mediavilla most recently updated or revised?
The information pertaining to Laurie Marguerite Mediavilla, including its address, specialty, and other relevant details, was last updated or revised on 2019-12-16.
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