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LAURIE PERLA

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1972787851

Individual Registrant:
 LAURIE  PERLA 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
218 GRAND AVENUE  PAONIA, CO 81428 US
Tel: 970-527-2100  Fax: --

Contact information for business:
PO BOX 10100  DELTA, CO 81416-0008 US
Tel: 303-306-7783  Fax: 303-306-7753

Registration Information:
NPI: 1972787851
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
CO88505
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
COAPN.0002080-NP

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
22726331CO05
MEDICAL LICENSEAPN.0002080-NPCO01




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