Provider Demographics
NPI:1225558810
Name:ABRAMS, LAUREN REBECCA (MD)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:REBECCA
Last Name:ABRAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2777 MILE HIGH STADIUM CIR
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-5222
Mailing Address - Country:US
Mailing Address - Phone:303-825-8822
Mailing Address - Fax:
Practice Address - Street 1:2777 MILE HIGH STADIUM CIR
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-5222
Practice Address - Country:US
Practice Address - Phone:303-825-8822
Practice Address - Fax:303-825-4022
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-23
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0068963208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CODR.0068963OtherCOLORADO PHYSICIAN LICENSE