Individual
LAUREN MARIE SIEWERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2930 11TH AVE, EVANS, CO 80620-1011
(970) 350-4602
(970) 350-4645
Mailing address
2930 11TH AVE, EVANS, CO 80620-1011
(970) 350-4602
(970) 350-4645
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5420
CO
363A00000X
Physician Assistant
PA.0005420
CO
Other
Enumeration date
07/20/2018
Last updated
01/09/2020
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