Individual
LAURA J BEAUREGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1650 COCHRANE CIR, EVANS ARMY HOSPITAL, FORT CARSON, CO 80913-4613
(719) 526-7229
(716) 526-7007
Mailing address
1650 COCHRANE CIR, EVANS ARMY HOSPITAL, FORT CARSON, CO 80913-4613
(719) 524-4166
(716) 524-4183
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2042
CO
363AS0400X
Surgical Physician Assistant
Primary
2042
CO
363AS0400X
Surgical Physician Assistant
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Other
Enumeration date
01/09/2007
Last updated
02/09/2024
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