Individual
LINDSEY MEREDITH DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8809 N UNION BLVD, SUITE 200, COLORADO SPRINGS, CO 80920
(719) 548-0700
Mailing address
5575 TECH CENTER DR, SUITE 106, COLORADO SPRINGS, CO 80919-2353
(719) 548-0700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA4400
CO
363A00000X
Physician Assistant
Primary
PA60235184
WA
363AS0400X
Surgical Physician Assistant
PA-602
AL
Other
Enumeration date
09/22/2008
Last updated
05/04/2017
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