Healthcare Provider Details

I. General information

NPI: 1386560316
Provider Name (Legal Business Name): LAUREN MOLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REN MOLER

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3955 E EXPOSITION AVE STE 212
DENVER CO
80209-5032
US

IV. Provider business mailing address

5 S ELATI ST APT 1
DENVER CO
80223-1659
US

V. Phone/Fax

Practice location:
  • Phone: 720-295-5126
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLSW.0009927662
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: