Lydia L. Prusinowski
Lydia L. Prusinowski is a Physician Assistant in Aurora, Colorado. Qualified in 2010, 16 years ago. Practices with Rational Dermatology, PC, an 11-clinician group and accepts Medicare assignment. Licensed in Colorado and Michigan.
- Years since qualifying
- 16
- Licensed in
- CO, MI
- In the registry since
- 2010
- Specialties on file
- 2
Practice location Address checks out
1501 S Potomac StAurora, CO 80012-5411
Phone: (303) 695-2628
Fax: (303) 306-7753
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA.0004156 (CO) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence 5601005910 (MI) |
Record details
| NPI number | 1528378817 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 20, 2010 |
| Last updated in NPPES | May 11, 2015 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2010 (16 years in practice) |
| Group practice | Rational Dermatology, Pc — 11 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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