Individual
JONATHAN THOMAS LALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.0006571
CO
363AS0400X
Surgical Physician Assistant
Primary
PA.0006571
CO
Other
Enumeration date
03/17/2021
Last updated
08/14/2024
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