| Doctor Name: | LAUREN MICHELLE STATON |
| NPI Number: | 1306187547 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT, DPT |
| License Number: | PTL.0011730 |
| Business Practice Address: | 3000 Center Green Dr Suite 110 Boulder, CO - 80301 |
| Business Phone Number: | 3034139903 |
| Business Fax Number: | 3034139907 |
| Mailing Address: | 288 S Mccaslin Blvd, Apt 101 LOUISVILLE |
| State: | CO |
| Postal Code: | 80027 |
| Phone Number: | 7274300938 |
| Fax Number: | |
| NPI Enumeration Date: | 03/13/2013 |
| NPI Last Update Date: | 09/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PTL.0011730 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |