MEDICARE: LAUREN A SILK CD

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	174400000X	Specialist
2	174H00000X	Health Educator
3	174N00000X	Lactation Consultant (Non-RN)
4	253Z00000X	In Home Supportive Care Agency
5	374J00000X	Doula

General Provider Information

NPI Number	:	1053081414
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN A SILK CD

Provider Business Mailing Address
First Line	:	7775 CONIFER DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-4541
Country	:	US
Telephone Number	:	303-396-4080
Fax Number	:

Provider Business Practice Location Address
First Line	:	7775 CONIFER DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-4541
Country	:	US
Telephone Number	:	303-396-4080
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2021
Last Update Date	:	09/16/2021

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