Healthcare Provider Details
I. General information
NPI: 1467807529
Provider Name (Legal Business Name): LINDSY JENNIFER ENGLERT D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/26/2016
Last Update Date: 03/28/2025
Certification Date: 03/28/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6071 E WOODMEN RD STE 105
COLORADO SPRINGS CO
80923-2610
US
IV. Provider business mailing address
PO BOX 35380
LAS VEGAS NV
89133-5380
US
V. Phone/Fax
- Phone: 925-997-1572
- Fax:
- Phone: 719-463-5600
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | DR.0062483 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: