Healthcare Provider Details

I. General information

NPI: 1649950437
Provider Name (Legal Business Name): LAUREN E BYRON RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2023
Last Update Date: 07/18/2023
Certification Date: 07/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9395 CROWN CREST BLVD
PARKER CO
80138-8573
US

IV. Provider business mailing address

7017 S KEWAUNEE CT
AURORA CO
80016-7538
US

V. Phone/Fax

Practice location:
  • Phone: 303-269-4800
  • Fax:
Mailing address:
  • Phone: 843-814-5515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number1669413
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: