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Individual

LARA MORRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
2405 RESEARCH PARKWAY, COLORADO SPRINGS, CO 80920-3420
(719) 522-1133
(719) 264-1772
Mailing address
2 SOUTH CASCADE AVE, SUITE 140, COLORADO SPRINGS, CO 80903
(719) 522-1133
(719) 264-1772

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1547
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
95402268
CO
Enumeration date
08/24/2006
Last updated
09/18/2014
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