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Individual

LINDSAY N KOTAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT

Contact information

Practice address
1151 ALOHA ST, STE 100, CASTLE ROCK, CO 80108-2388
(720) 330-1305
(720) 452-2079
Mailing address
1151 ALOHA ST, STE 100, CASTLE ROCK, CO 80108
(720) 330-1305
(720) 452-2079

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.4789
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA.0004789
COLORADO PHYSICIAN ASSISTANT
CO
Enumeration date
12/16/2016
Last updated
05/21/2025
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