1225321268 NPI number — LAUREN K RAMNARINE MD

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225321268 NPI number — LAUREN K RAMNARINE MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RAMNARINE
Provider First Name:
LAUREN
Provider Middle Name:
K
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
RASMUSSEN
Provider Other First Name:
LAUREN
Provider Other Middle Name:
K
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1225321268
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/18/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1735 S PUBLIC RD STE 203
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAFAYETTE
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80026-7093
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-665-3036
Provider Business Mailing Address Fax Number:
303-665-3397

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8990 N. WASHINGTON
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
THORNTON
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80229-4537
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
720-929-1655
Provider Business Practice Location Address Fax Number:
720-565-4129
Provider Enumeration Date:
05/24/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  DR.0050212 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 36834785 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: DR.0050212 . This is a "CO LICENSE" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".




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