Provider Demographics
NPI:1265022412
Name:KARGUL, LAUREN BLAIR (BS)
Entity type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:BLAIR
Last Name:KARGUL
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4400 S MONACO ST APT 524
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3450
Mailing Address - Country:US
Mailing Address - Phone:815-321-9185
Mailing Address - Fax:
Practice Address - Street 1:750 POTOMAC ST STE L11
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-6715
Practice Address - Country:US
Practice Address - Phone:303-283-5991
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-21
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator