Provider Demographics
NPI:1811497589
Name:ROTH, LAUREN ELIZABETH (FNP-C)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:ELIZABETH
Last Name:ROTH
Suffix:
Gender:F
Credentials:FNP-C
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Mailing Address - Street 1:2695 ROCKY MOUNTAIN AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-9071
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2500 ROCKY MOUNTAIN AVE # F1016J
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-9004
Practice Address - Country:US
Practice Address - Phone:970-624-1555
Practice Address - Fax:970-624-1594
Is Sole Proprietor?:No
Enumeration Date:2018-02-19
Last Update Date:2023-05-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
COAPN.0993701-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily