Brave, Lauren C

Brave, Lauren C is an individual health care provider with primary practice located at 2750 Broadway St , Boulder CO 80304-3573. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Brave, Lauren C can be contacted via phone (303) 938-4750.

Contact Information

Primary practice address
2750 Broadway St Boulder CO 80304-3573
Phone: (303) 938-4750
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 52059 Colorado

Profile Details

NPI number 1285603696
LBN Legal business name Brave, Lauren C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Aug 26th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285603696 NPPES
California MEDICAID 00A880740

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