Lauren Garlock

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

1260 Doctors LN
Fort Collins, CO 80524-4038

Phone

(970) 286-2668

Fax

(970) 294-4954

NPI assigned

Oct 7, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Divine Dermatology and Surgical Institute PLLCGroup PAC ID 0941571236, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Divine Dermatology and Surgical Institute, PLLC

  • Medical Specialty Clinic/Center
  • Fort Collins, CO
  • NPI 1215460290
  Medicare reassignment Care Compare group
• Divine Dermatology and Surgical Institute, PLLC

  • Dermatology Physician
  • Longmont, CO
  • NPI 1962164269
  NPD (past)
• Mountain Air, LLC

  • Oxygen Equipment & Supplies (DME)
  • Fort Collins, CO
  • NPI 1922332956
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1205655487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 DOCTORS LN",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 DOCTORS LN",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244038",
            "telephone_number": "970-286-2668",
            "fax_number": "970-294-4954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARLOCK",
        "first_name": "LAUREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Anuhea Garcia
• Michelle Pilar Garcia, LMFT, MS
• Mikayla Garcia
• Monica Massaro Garcia, PSY.D.
• Sherry Elizabeth Gardner, PSY. D.
• Matthew J Garman, M.D.
• Mecallen Wade Garneau, OD
• Corey Garrett
• Leasa Marie Garrett, FNP
• Melburn Garrett, PA-C

• Medical Physician Assistant in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Medical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.