Individual
LAUREN DEALLEAUME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8015 W ALAMEDA AVE STE 20, LAKEWOOD, CO 80226-3075
(720) 418-7196
Mailing address
8015 W ALAMEDA AVE, LAKEWOOD, CO 80226-3041
(866) 808-6005
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD39986
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06723519
—
CO
01
—
080189511
RAILROAD MEDICARE
CO
01
—
84-1343242-7S
PACIFICARE
CO
Enumeration date
07/23/2006
Last updated
01/29/2019
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