Provider Demographics
NPI:1083938260
Name:SIMONS, LAUREN BESS (DC)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:BESS
Last Name:SIMONS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:329 W US HIGHWAY 50
Mailing Address - Street 2:
Mailing Address - City:SALIDA
Mailing Address - State:CO
Mailing Address - Zip Code:81201-2233
Mailing Address - Country:US
Mailing Address - Phone:970-531-5729
Mailing Address - Fax:
Practice Address - Street 1:329 W US HIGHWAY 50
Practice Address - Street 2:
Practice Address - City:SALIDA
Practice Address - State:CO
Practice Address - Zip Code:81201-2233
Practice Address - Country:US
Practice Address - Phone:970-531-5729
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-17
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6404111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO341842Medicare UPIN