Individual
LAUREN DIANE MACTAGGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3455 LUTHERAN PKWY STE 105, WHEAT RIDGE, CO 80033
(303) 456-6000
Mailing address
3 SUPERIOR DR STE 225, SUPERIOR, CO 80027-8661
(303) 665-2603
(303) 665-2605
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
MD464139
PA
Other
Enumeration date
03/27/2013
Last updated
09/19/2019
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