MEDICARE: LAUREN PUCCI LPC.0022596

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	101YP2500X	Professional Counselor	LPC.0022596	CO

General Provider Information

NPI Number	:	1336822931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN PUCCI LPC.0022596

Provider Business Mailing Address
First Line	:	3315 GLADE RD
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80538-9432
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1302 S SHIELDS ST
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80521-4801
Country	:	US
Telephone Number	:	720-340-5118
Fax Number	:

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

Provider Enumeration Date	:	08/09/2023
Last Update Date	:	04/10/2026

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