Provider Demographics
NPI:1528461399
Name:ALLEN, LAUREN ANN (DMD)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:ANN
Last Name:ALLEN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:LAUREN
Other - Middle Name:ANN
Other - Last Name:HANTHORN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:5100 W 20TH ST STE B
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-3051
Mailing Address - Country:US
Mailing Address - Phone:970-373-4435
Mailing Address - Fax:
Practice Address - Street 1:5100 W 20TH ST STE B
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-3051
Practice Address - Country:US
Practice Address - Phone:970-373-4435
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-07
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO00203115122300000X
WY1485122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist