Healthcare Provider Details

I. General information

NPI: 1700793940
Provider Name (Legal Business Name): LAUREN SANCHEZ RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2148 BOADWAY STE. B5
GRAND JUNCTION CO
81507
US

IV. Provider business mailing address

796 CONCHO CT
GRAND JUNCTION CO
81505-9670
US

V. Phone/Fax

Practice location:
  • Phone: 970-829-5798
  • Fax:
Mailing address:
  • Phone: 970-433-4070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.1687594
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: