Individual
LAUREN E BROADBENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
MSC10 5610, UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-4161
(505) 272-2776
Mailing address
17450 GROVELAND PL, WAYZATA, MN 55391-2880
(952) 687-1032
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RS2025-0138
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/22/2023
Last updated
05/20/2025
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