Healthcare Provider Details

I. General information

NPI: 1841633567
Provider Name (Legal Business Name): LAUREN E GLECKLER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2013
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9695 S YOSEMITE ST STE 385
LONE TREE CO
80124-2890
US

IV. Provider business mailing address

9695 S YOSEMITE ST STE 385
LONE TREE CO
80124-2890
US

V. Phone/Fax

Practice location:
  • Phone: 303-715-7119
  • Fax: 303-715-7119
Mailing address:
  • Phone: 303-715-7119
  • Fax: 303-715-7119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number298279
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberDR.66864
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: