Individual provider · Type 1 NPI

Laura J. Beauregard, PA

Surgical Physician Assistant · Fort Carson, CO

NPI number 1952450355 Active

Practice location

1650 Cochrane Cir, Evans Army Hospital
Fort Carson, CO 80913-4613

Fax (716) 526-7007

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XNone listed
Surgical Physician Assistant Primary 363AS0400X2042 (CO)
Physician Assistant 363A00000X2042 (CO)

Surgical Physician Assistant: Definition to come...

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About NPI 1952450355

Laura J. Beauregard, PA's National Provider Identifier is 1952450355, issued on Jan 9, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fort Carson, CO. The record was last updated on Feb 9, 2024.