Provider Demographics
NPI:1861675092
Name:MAUGEL, LAURA A (PA-C)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:A
Last Name:MAUGEL
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2200 E 104TH AVE
Mailing Address - Street 2:SUITE 115
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80233-4404
Mailing Address - Country:US
Mailing Address - Phone:303-452-2766
Mailing Address - Fax:303-252-8694
Practice Address - Street 1:2200 E 104TH AVE
Practice Address - Street 2:SUITE 115
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80233-4404
Practice Address - Country:US
Practice Address - Phone:303-452-2766
Practice Address - Fax:303-252-8694
Is Sole Proprietor?:No
Enumeration Date:2007-12-11
Last Update Date:2012-06-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO2528363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant