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NPI Code Detail

MEDICARE: MRS. LINDSEY NICOLE SUHR PA-C

MEDICARE: MRS. LINDSEY NICOLE SUHR PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA.0004715CO

General Provider Information

NPI Number : 1760835029
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LINDSEY NICOLE SUHR PA-C
Provider Business Mailing Address
First Line : 9320 GRAND CORDERA PKWY STE 100
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80924-7004
Country : US
Telephone Number : 719-282-6337
Fax Number : 719-282-0532
Provider Business Practice Location Address
First Line : 9320 GRAND CORDERA PKWY STE 100
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80924-7004
Country : US
Telephone Number : 719-282-6337
Fax Number : 719-282-0532
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2016
Last Update Date : 12/20/2019

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