Provider Demographics
NPI:1508524471
Name:BROWN, LAUREN ELIZABETH (OT)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:ELIZABETH
Last Name:BROWN
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6205 WILLOW LN
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-5360
Mailing Address - Country:US
Mailing Address - Phone:303-514-5115
Mailing Address - Fax:
Practice Address - Street 1:361 S CAMINO DEL RIO # 409
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81303-7997
Practice Address - Country:US
Practice Address - Phone:720-702-2201
Practice Address - Fax:303-343-1738
Is Sole Proprietor?:No
Enumeration Date:2021-12-07
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO225X00000X
225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist