Most Relevant Information
Provider Data
NPI Number: | 1003212374 |
Provider Name: | LAUREN ELIZABETH SPAIN PA-C |
Entity Type: | Individual |
Taxonomy Code: | 363A00000X |
Specialty: | Physician Assistant |
License Number: | 007422 |
Most Important Dates
Enumeration Date: | 11/13/2014 |
Last Updated: | 03/27/2023 |
Provider Practice Location
175 S UNION BLVD STE 310
COLORADO SPRINGS
CO
809103126
Practice Location Phone/Fax
Phone: | 7193651950 |
Fax: | 7193651951 |
Provider Mailing Location
610 MAROONGLEN CT
COLORADO SPRINGS
CO
809066805
Provider Mailing Phone/Fax
Phone: | 4056598525 |
Fax: |