Provider Demographics
NPI:1407401045
Name:PAULSON, LAUREN F
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:F
Last Name:PAULSON
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 1:77 S OGDEN ST APT 418
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-2349
Mailing Address - Country:US
Mailing Address - Phone:952-426-8564
Mailing Address - Fax:
Practice Address - Street 1:9595 W 49TH AVE
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-2279
Practice Address - Country:US
Practice Address - Phone:952-426-8564
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-08
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health