Provider Demographics
NPI:1679115539
Name:HILL, LAURYN ASHLEY (PA-C)
Entity Type:Individual
Prefix:
First Name:LAURYN
Middle Name:ASHLEY
Last Name:HILL
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 1:13930 SCARLET SAGE LN
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-4661
Mailing Address - Country:US
Mailing Address - Phone:303-868-0955
Mailing Address - Fax:
Practice Address - Street 1:755 S PERRY ST STE 100
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-1923
Practice Address - Country:US
Practice Address - Phone:303-688-8989
Practice Address - Fax:303-688-3482
Is Sole Proprietor?:No
Enumeration Date:2019-10-11
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPA.0005861363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant