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NPI Code Detail

MEDICARE: LAUREN BOOGERT

MEDICARE:   LAUREN  BOOGERT
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1699449140
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN BOOGERT
Provider Business Mailing Address
First Line : 9894 ROSEMONT AVE # UNITE202
Second Line :
City : LONE TREE
State : CO
Zip : 80124-4102
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9894 ROSEMONT AVE STE 202
Second Line :
City : LONE TREE
State : CO
Zip : 80124-4103
Country : US
Telephone Number : 303-241-0421
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2021
Last Update Date : 08/06/2021

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Directions to “ LAUREN BOOGERT ” Practice Location

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