MEDICARE: LAUREN C BRAVE MD

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	208000000X	Pediatrics Physician	52059	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285603696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN C BRAVE MD

Provider Business Mailing Address
First Line	:	2750 BROADWAY ST
Second Line	:
City	:	BOULDER
State	:	CO
Zip	:	80304-3586
Country	:	US
Telephone Number	:	303-440-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	4745 ARAPAHOE AVE STE 200
Second Line	:
City	:	BOULDER
State	:	CO
Zip	:	80303-1082
Country	:	US
Telephone Number	:	303-938-4750
Fax Number	:	303-938-4753

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

Provider Enumeration Date	:	03/16/2006
Last Update Date	:	02/25/2025

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