Individual
KATIE LAPORTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7960 S UNIVERSITY BLVD STE 101, CENTENNIAL, CO 80122-3167
(303) 791-0301
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
PA.0004430
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45750084
—
CO
01
—
548350YTFU
MEDICARE
CO
Enumeration date
09/24/2015
Last updated
06/16/2021
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