Provider Demographics
NPI:1689120347
Name:TOMLINSON, LAUREN KOOB (FNP-C)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:KOOB
Last Name:TOMLINSON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7424 LA QUINTA LN
Mailing Address - Street 2:
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-8976
Mailing Address - Country:US
Mailing Address - Phone:303-589-5880
Mailing Address - Fax:
Practice Address - Street 1:7424 LA QUINTA LN
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-8976
Practice Address - Country:US
Practice Address - Phone:303-589-5880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-31
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0992563-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily