Provider Demographics
NPI:1134839491
Name:BURGER, LAUREN (LAC, DAOM)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:
Last Name:BURGER
Suffix:
Gender:F
Credentials:LAC, DAOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1232 HAWK RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-2985
Mailing Address - Country:US
Mailing Address - Phone:303-919-5497
Mailing Address - Fax:
Practice Address - Street 1:1232 HAWK RIDGE RD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-2985
Practice Address - Country:US
Practice Address - Phone:303-919-5497
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-28
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0002349171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist