MEDICARE: LAURA HAFERTEPEN DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	20A12038	CA
2	208600000X	Surgery Physician	34-011701	OH
3	208600000X	Surgery Physician	DR.0056590	CO

General Provider Information

NPI Number	:	1003116526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA HAFERTEPEN DO

Provider Business Mailing Address
First Line	:	8200 E BELLEVIEW AVE STE 295E
Second Line	:
City	:	GREENWOOD VILLAGE
State	:	CO
Zip	:	80111-2883
Country	:	US
Telephone Number	:	303-798-0916
Fax Number	:	303-798-0737

Provider Business Practice Location Address
First Line	:	8200 E BELLEVIEW AVE STE 295E
Second Line	:
City	:	GREENWOOD VILLAGE
State	:	CO
Zip	:	80111-2883
Country	:	US
Telephone Number	:	303-798-0916
Fax Number	:	303-798-0737

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2010
Last Update Date	:	06/04/2026

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Directions to “ LAURA HAFERTEPEN DO” Practice Location

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