Healthcare Provider Details

I. General information

NPI: 1740799337
Provider Name (Legal Business Name): DONALD J LAO DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2017
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3010 N CIRCLE DR STE 100
COLORADO SPRINGS CO
80909-1174
US

IV. Provider business mailing address

PO BOX 800022
KANSAS CITY MO
64180-0022
US

V. Phone/Fax

Practice location:
  • Phone: 719-776-7846
  • Fax: 719-776-3456
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberDR.0071081
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: