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NPI 1972067627 · live from the CMS NPI Registry

Lacey Aghazarian, PA-C

Physician Assistant, Surgical in Highlands Ranch, CO. National Provider Identifier 1972067627, active.

NPI record

NPI1972067627 Type 1 · individual
StatusActive
Primary specialtyPhysician Assistant, Surgical 363AS0400X
Practice location1500 Park Central Dr, Highlands Ranch, CO 80129
Practice phone720-848-0000
Mailing addressPo Box 110429, Aurora, CO 80042
EnumeratedJanuary 28, 2019
Last updatedJanuary 30, 2025
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Physician Assistant, Medical363AM0700X—
Physician Assistant, Surgical primary363AS0400XPA.0008281 (CO)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.