Individual
LAUREN M GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 COLORADO AVE, PUEBLO, CO 81004-2006
(719) 543-8711
(719) 543-0171
Mailing address
110 E ROUTT AVE, PUEBLO, CO 81004-2117
(719) 543-8718
(719) 543-0171
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0004678
CO
Other
Enumeration date
01/02/2008
Last updated
07/22/2016
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