Individual
LAUREN PREBISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2222 N NEVADA AVE, COLORADO SPRINGS, CO 80907-6819
(719) 776-8040
(719) 776-8050
Mailing address
85 MCNAUGHTEN RD STE 110, COLUMBUS, OH 43213-5111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.005823RX
OH
363AM0700X
Medical Physician Assistant
Primary
PA.0007737
CO
Other
Enumeration date
12/04/2018
Last updated
01/29/2024
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