Provider Demographics
NPI:1679273064
Name:OT LAUREN BROWN LLC
Entity type:Organization
Organization Name:OT LAUREN BROWN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:E
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:303-514-5115
Mailing Address - Street 1:361 S CAMINO DEL RIO # 409
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81303-7997
Mailing Address - Country:US
Mailing Address - Phone:035-145-1153
Mailing Address - Fax:303-343-1738
Practice Address - Street 1:1305 ESCALANTE DR STE 203
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81303
Practice Address - Country:US
Practice Address - Phone:720-702-2201
Practice Address - Fax:303-343-1738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-06
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty