Healthcare Provider Details

I. General information

NPI: 1043944218
Provider Name (Legal Business Name): LAUREN KATHLEEN HSUAN MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2022
Last Update Date: 07/13/2022
Certification Date: 07/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 E HARMONY RD UNIT 170
FORT COLLINS CO
80528-3413
US

IV. Provider business mailing address

2121 E HARMONY RD UNIT 170
FORT COLLINS CO
80528-3413
US

V. Phone/Fax

Practice location:
  • Phone: 970-237-7629
  • Fax: 970-493-3528
Mailing address:
  • Phone: 970-237-7629
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: