Healthcare Provider Details

I. General information

NPI: 1174084461
Provider Name (Legal Business Name): LAURA ROIDER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2019
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

761 SOUTHPARK DR
LITTLETON CO
80120-5644
US

IV. Provider business mailing address

761 SOUTHPARK DR
LITTLETON CO
80120-5644
US

V. Phone/Fax

Practice location:
  • Phone: 303-783-1000
  • Fax:
Mailing address:
  • Phone: 303-783-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number0070624
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number0070624
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: