Healthcare Provider Details

I. General information

NPI: 1508770223
Provider Name (Legal Business Name): LAUREN TOMPKINS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 MOFFAT AVE
OAK CREEK CO
80467-5024
US

IV. Provider business mailing address

PO BOX 84
OAK CREEK CO
80467-0084
US

V. Phone/Fax

Practice location:
  • Phone: 970-291-9689
  • Fax:
Mailing address:
  • Phone: 317-441-6888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number1616893
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: