Provider Demographics
NPI:1649918822
Name:SCHROEDER, LAUREN CHRISTINE (LAC, MSOM, MS)
Entity type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:CHRISTINE
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:LAC, MSOM, MS
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:CHRISTINE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAC, MSOM, MS
Mailing Address - Street 1:630 15TH AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-2764
Mailing Address - Country:US
Mailing Address - Phone:720-442-9911
Mailing Address - Fax:
Practice Address - Street 1:630 15TH AVE STE 102
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-2764
Practice Address - Country:US
Practice Address - Phone:720-442-9911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-26
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171100000X
COACU0002718171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist