Healthcare Provider Details

I. General information

NPI: 1215874201
Provider Name (Legal Business Name): LAUREN NETZEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1995 E COALTON RD APT 7-302
SUPERIOR CO
80027-4468
US

IV. Provider business mailing address

1995 E COALTON RD APT 7-302
SUPERIOR CO
80027-4468
US

V. Phone/Fax

Practice location:
  • Phone: 507-279-9333
  • Fax:
Mailing address:
  • Phone: 507-279-9333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number0009926758
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: