MEDICARE: LAUREN ELISE CAREI PA

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
1	363A00000X	Physician Assistant	PA.0003987	CO

General Provider Information

NPI Number	:	1104233097
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN ELISE CAREI PA

Provider Business Mailing Address
First Line	:	360 W PARK DR STE 201
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81505-1619
Country	:	US
Telephone Number	:	970-609-7337
Fax Number	:	970-233-9829

Provider Business Practice Location Address
First Line	:	360 W PARK DR STE 201
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81505-1619
Country	:	US
Telephone Number	:	970-609-7337
Fax Number	:	970-233-9829

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

Provider Enumeration Date	:	07/13/2014
Last Update Date	:	06/03/2022

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Directions to “ LAUREN ELISE CAREI PA” Practice Location

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