Individual provider · Type 1 NPI

Tyler James Lacoste, PA

Medical Physician Assistant · Denver, CO

NPI number 1255979225 Active

Practice location

777 Bannock St
Denver, CO 80204-4597

Call (303) 436-4949 Map

Fax (303) 602-5184

Mailing address

2472 Ridgemont Dr
Birmingham, AL 35244-1251

Other practice locations

  • 1201 11th Ave S, Birmingham, AL 35205-3423 · (205) 934-3411

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X1543 (AL)
Medical Physician Assistant Primary 363AM0700XPA.0007592 (CO)

Medical Physician Assistant: Definition to come...

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About NPI 1255979225

Tyler James Lacoste, PA's National Provider Identifier is 1255979225, issued on Dec 20, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Denver, CO. The record was last updated on Oct 31, 2024.