Individual provider · Type 1 NPI

Nicole Lauren Ragukonis, PA

Surgical Physician Assistant · Aurora, CO

NPI number 1154069854 Active

Practice location

13123 E 16th Ave
Aurora, CO 80045-7106

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA.0007466 (CO)
Surgical Physician Assistant Primary 363AS0400XPA.0007466 (CO)

Surgical Physician Assistant: Definition to come...

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About NPI 1154069854

Nicole Lauren Ragukonis, PA's National Provider Identifier is 1154069854, issued on May 23, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Aurora, CO. The record was last updated on Oct 5, 2026.