| Kathleen Lauren | |
|
4674 Snow Mesa Dr Ste 100 Fort Collins CO 80528 | |
| (970) 221-1073 | |
| (970) 221-9380 |
| Full Name | Kathleen Lauren |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 4674 Snow Mesa Dr, Fort Collins, Colorado |
| Authorized Official Name and Position | Jessica L Freitag (BILLING AGENT) |
| Authorized Official Contact | 9706860970 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Lauren Po Box 492 Windsor CO 80550 Ph: (970) 686-0970 | Kathleen Lauren 4674 Snow Mesa Dr Ste 100 Fort Collins CO 80528 Ph: (970) 221-1073 |
| NPI Number | 1356367197 |
|---|---|
| Provider Enumeration Date | 07/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356367197 | NPI | - | NPPES |
| 69323780 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 1990 (Colorado) | Primary |
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