Provider Demographics
NPI:1578899043
Name:MORGAN, LARA EVELYN (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:LARA
Middle Name:EVELYN
Last Name:MORGAN
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:6169 S BALSAM WAY
Mailing Address - Street 2:250
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-3062
Mailing Address - Country:US
Mailing Address - Phone:303-933-4555
Mailing Address - Fax:303-933-8147
Practice Address - Street 1:6169 S BALSAM WAY
Practice Address - Street 2:#250
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-3062
Practice Address - Country:US
Practice Address - Phone:303-933-4555
Practice Address - Fax:303-933-8147
Is Sole Proprietor?:No
Enumeration Date:2009-10-19
Last Update Date:2011-08-10
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Provider Licenses
StateLicense IDTaxonomies
CO2860363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant