Individual
LAUREN WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
568 US HIGHWAY 36, BYERS, CO 80103-9700
(303) 822-9371
Mailing address
568 US HIGHWAY 36, BYERS, CO 80103-9700
(303) 822-9371
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA.0023214
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08-113-1013
DRIVERS LICENSE
CO
05
—
08-113-1013
—
CO
Enumeration date
01/29/2021
Last updated
01/29/2021
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