Individual
MS. LAURA ELIZABETH KUSHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3245 E US HIGHWAY 50, CANON CITY, CO 81212-9342
(719) 285-2888
Mailing address
3245 E US HIGHWAY 50, CANON CITY, CO 81212-9342
(719) 285-2888
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1150230
—
Other
Enumeration date
07/11/2018
Last updated
07/02/2019
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