Individual
LOURDES SPINOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6945 TUTT BLVD, COLORADO SPRINGS, CO 80923-3566
(719) 380-7325
Mailing address
7600 E CALEY AVE APT 1031, ENGLEWOOD, CO 80111-6779
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0005370
CO
363A00000X
Physician Assistant
PA07201
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281832002
—
TX
01
—
844N61
BCBS
TX
Enumeration date
02/22/2011
Last updated
10/25/2018
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