Individual provider · Type 1 NPI

Lisa M. Corley, PA-C

Physician Assistant · Colorado Springs, CO

NPI number 1194965384 Active

Practice location

600 S 21st St
Colorado Springs, CO 80904-3762

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA.0009459 (CO)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1194965384

Lisa M. Corley, PA-C's National Provider Identifier is 1194965384, issued on Feb 27, 2009. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Colorado Springs, CO. The record was last updated on Sep 24, 2026.