Provider Demographics
NPI:1679148977
Name:HEMZACEK, LAUREN J (CNM)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:J
Last Name:HEMZACEK
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15353 E 100TH CT
Mailing Address - Street 2:
Mailing Address - City:COMMERCE CITY
Mailing Address - State:CO
Mailing Address - Zip Code:80022-9370
Mailing Address - Country:US
Mailing Address - Phone:720-936-2926
Mailing Address - Fax:
Practice Address - Street 1:10465 PARK MEADOWS DR STE 104
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-5320
Practice Address - Country:US
Practice Address - Phone:303-799-7903
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-20
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife