Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 104100000X | Social Worker |
NPI | 1003373416 |
---|---|
Provider Name | Lauren Spizman |
First Address | Aurora, CO 80011-7117 |
Second Address | Aurora, CO 80011-7117 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2019 |
Last Update Date | 04/06/2021 |