Healthcare Provider Details

I. General information

NPI: 1679148977
Provider Name (Legal Business Name): LAUREN J HEMZACEK CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2021
Last Update Date: 11/09/2022
Certification Date: 11/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10465 PARK MEADOWS DR STE 104
LONE TREE CO
80124-5320
US

IV. Provider business mailing address

15353 E 100TH CT
COMMERCE CITY CO
80022-9370
US

V. Phone/Fax

Practice location:
  • Phone: 303-799-7903
  • Fax:
Mailing address:
  • Phone: 720-936-2926
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: