Healthcare Provider Details
I. General information
NPI: 1518195973
Provider Name (Legal Business Name): LAWREN LOVE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/24/2009
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2594 TRAILRIDGE DR E
LAFAYETTE CO
80026-3186
US
IV. Provider business mailing address
2594 TRAILRIDGE DR E
LAFAYETTE CO
80026-3186
US
V. Phone/Fax
- Phone: 303-449-7740
- Fax: 303-604-5393
- Phone: 303-449-7740
- Fax: 303-604-5393
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | DR.0074166 |
| License Number State | CO |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | MD19217 |
| License Number State | HI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: