Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LARA M ANTONELLI, PA
ActiveLARA M ANTONELLI, PA is a Physician Assistant healthcare provider located in FORT COLLINS, Colorado. NPI 1275698904 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FORT COLLINS, CO
Registration Details
- NPI Number
- 1275698904
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 22, 2006 (19.605561872738 yrs)
- Last Updated
- Feb 28, 2022
- License
-
PA 1669 (CO)
Practice Information
- Address
-
1107 S LEMAY AVE STE 200FORT COLLINS, CO, 805243959Browse CO providers · Browse ZIP 80524
- Phone
- 9704841757
- Fax
- 9704849924
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in FORT COLLINS, CO
| Name | Credential | NPI |
|---|---|---|
| DENNIS P. BRANT | — | 1487659181 |
| DAWN EETEN | P.A.-C | 1134116874 |
| ANDREA J BIEGANSKI | P.A. | 1801883525 |
| TROY W WOLF | PA C | 1447233721 |
| TRICIA L SMIKAHL | PA | 1386627560 |
| KARA LEAH DITULLIO | PA C | 1063495042 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.