Individual
LAURA ASHLEY PERNELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APA-C
Contact information
Practice address
3920 BARKELEY AVE, FORT CARSON, CO 80913
(097) 524-2047
Mailing address
1880 ANASAZI CT, COLORADO SPRINGS, CO 80919-3487
(717) 360-3268
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0004807
MD
Other
Enumeration date
07/24/2012
Last updated
05/09/2024
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