Provider Demographics
NPI:1740489731
Name:ROYCE, LAUREN CYRILLA
Entity type:Individual
Prefix:MISS
First Name:LAUREN
Middle Name:CYRILLA
Last Name:ROYCE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13005 W 2ND PL APT M108
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-1319
Mailing Address - Country:US
Mailing Address - Phone:507-313-6064
Mailing Address - Fax:
Practice Address - Street 1:13005 W 2ND PL APT M108
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-1319
Practice Address - Country:US
Practice Address - Phone:507-313-6064
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-11
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health