Individual
LAUREN ST ONGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8501 TURNPIKE DR UNIT 100, WESTMINSTER, CO 80031-7042
(303) 430-2490
Mailing address
3304 HICKOK PL, BOULDER, CO 80301-1949
(404) 862-8066
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016787
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236
—
DC
01
—
568946544
BCBS
—
01
—
5874
HEALTH PARTNERS
—
Enumeration date
12/29/2023
Last updated
11/20/2024
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