Provider Demographics
NPI:1811315294
Name:OAKLEY, LAUREN
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:OAKLEY
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 1:7350 E PROGRESS PL
Mailing Address - Street 2:SUITE # 201
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2130
Mailing Address - Country:US
Mailing Address - Phone:720-282-4707
Mailing Address - Fax:303-539-7467
Practice Address - Street 1:7350 E PROGRESS PL
Practice Address - Street 2:SUITE # 201
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2130
Practice Address - Country:US
Practice Address - Phone:720-282-4707
Practice Address - Fax:303-539-7467
Is Sole Proprietor?:No
Enumeration Date:2014-04-02
Last Update Date:2016-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPA.0003906363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant