Individual
DR. LAUREN ELIZABETH COSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3896
CO
152W00000X
Optometrist
Primary
639
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51326779
—
NM
01
—
P01236089
RAILROAD MEDICARE
NM
Enumeration date
06/10/2012
Last updated
04/21/2026
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