MEDICARE: LAUREN SNURKA MS, LAT, ATC

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	2255A2300X	Athletic Trainer

General Provider Information

NPI Number	:	1245832278
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN SNURKA MS, LAT, ATC

Provider Business Mailing Address
First Line	:	12030 W MEXICO AVE
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80228-3909
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	951 ELATI ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80204-3939
Country	:	US
Telephone Number	:	630-701-8191
Fax Number	:

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

Provider Enumeration Date	:	11/13/2020
Last Update Date	:	03/22/2024

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