MEDICARE: LAUREN MCKENNA CURTIS PA-C

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		CO

General Provider Information

NPI Number	:	1659122265
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN MCKENNA CURTIS PA-C

Provider Business Mailing Address
First Line	:	2450 E 5TH AVE UNIT B
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80206-4245
Country	:	US
Telephone Number	:	303-598-2129
Fax Number	:

Provider Business Practice Location Address
First Line	:	2450 E 5TH AVE UNIT B
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80206-4245
Country	:	US
Telephone Number	:	303-598-2129
Fax Number	:

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

Provider Enumeration Date	:	04/01/2024
Last Update Date	:	04/01/2024

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