Provider Demographics
NPI:1649587981
Name:LERSCH, JULIA ELIZABETH (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:ELIZABETH
Last Name:LERSCH
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5053 HEATHERGLEN DR
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80130-8966
Mailing Address - Country:US
Mailing Address - Phone:303-470-5259
Mailing Address - Fax:
Practice Address - Street 1:5053 HEATHERGLEN DR
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80130-8966
Practice Address - Country:US
Practice Address - Phone:303-470-5259
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-08
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2787363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant