Individual
LAUREN BASHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7395 W EASTMAN PL, LAKEWOOD, CO 80227-5006
(303) 730-8000
Mailing address
7395 W EASTMAN PL, LAKEWOOD, CO 80227-5006
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0014569
CO
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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