Provider Demographics
NPI:1184009854
Name:VICARS, LAUREN
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:VICARS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10089 PARK MEADOWS DR
Mailing Address - Street 2:APT. 211
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124
Mailing Address - Country:US
Mailing Address - Phone:314-323-3439
Mailing Address - Fax:
Practice Address - Street 1:10089 PARK MEADOWS DR
Practice Address - Street 2:APT. 211
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-6784
Practice Address - Country:US
Practice Address - Phone:314-323-3439
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-23
Last Update Date:2015-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist