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Individual

LAWRENCE THRELFALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
35324 HIGHWAY 41, COARSEGOLD, CA 93614-8302
(559) 664-4000
Mailing address
4809 TIMBER WOLF TRL, COLORADO SPRINGS, CO 80920-7673
(719) 272-1102

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary

Other

Enumeration date
08/18/2022
Last updated
09/17/2022
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