Individual
LAUREN BAROUSSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2781
(719) 584-4000
Mailing address
58 CLUB MANOR DR, PUEBLO, CO 81008-1601
(719) 584-4045
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN.0999109
CO
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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