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NPI Code Detail

MEDICARE: LAUREN VICTORIA CRUZ PSYD

MEDICARE: LAUREN VICTORIA CRUZ PSYD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologistPSY.0006843CO

General Provider Information

NPI Number : 1003391244
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN VICTORIA CRUZ PSYD
Provider Business Mailing Address
First Line : 3555 STANFORD RD STE 140
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-4680
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3555 STANFORD RD STE 140
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-4680
Country : US
Telephone Number : 970-829-1128
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2018
Last Update Date : 01/14/2026

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Directions to “ LAUREN VICTORIA CRUZ PSYD” Practice Location

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