Individual
LAUREN JEAN BAUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1364 N FRANKLIN ST UNIT B, DENVER, CO 80218-2408
(518) 491-2485
Mailing address
1419 SALT SPRINGS RD, SYRACUSE, NY 13214-1302
(315) 445-4100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0008168
CO
Other
Enumeration date
06/23/2022
Last updated
10/23/2023
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