Individual
LAUREN GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 S PARKSIDE DR STE 215, COLORADO SPRINGS, CO 80910-3131
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
975996
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174400000X
KAISER PERMANENTE
CO
Enumeration date
06/14/2016
Last updated
02/03/2022
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