Provider Demographics
NPI:1740693886
Name:JOUZAPAITIS, LAUREN
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:JOUZAPAITIS
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 1:1905 S YORK ST
Mailing Address - Street 2:208
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-4246
Mailing Address - Country:US
Mailing Address - Phone:847-977-8485
Mailing Address - Fax:
Practice Address - Street 1:1905 S YORK ST
Practice Address - Street 2:208
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-4246
Practice Address - Country:US
Practice Address - Phone:847-977-8485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-06
Last Update Date:2014-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO123180638390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program