Provider Demographics
NPI:1669762217
Name:PFENDLER, LAUREN KATHRYN (OD)
Entity type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:KATHRYN
Last Name:PFENDLER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5885 BARNES RD
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80922-3512
Mailing Address - Country:US
Mailing Address - Phone:719-602-2006
Mailing Address - Fax:
Practice Address - Street 1:5885 BARNES RD
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80922-3512
Practice Address - Country:US
Practice Address - Phone:719-602-2006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-17
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK109659152W00000X
NY008051152W00000X
CO3549152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist