| NPI | 1487964466 |
|---|---|
| Former Name | LAUREN E JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO 3088) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0003088) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2022-06-20 |