Healthcare Provider Details

I. General information

NPI: 1417852575
Provider Name (Legal Business Name): LAUREN RATRUT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1830 N FRANKLIN ST STE 300
DENVER CO
80218-1128
US

IV. Provider business mailing address

1830 N FRANKLIN ST STE 300
DENVER CO
80218-1128
US

V. Phone/Fax

Practice location:
  • Phone: 303-318-2110
  • Fax: 303-268-6411
Mailing address:
  • Phone: 303-318-2110
  • Fax: 303-268-6411

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberPHA.0025692
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: