Provider Demographics
NPI:1144106360
Name:MIFFLIN, LAURA
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:MIFFLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:274 UNION BLVD STE 220
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-1835
Mailing Address - Country:US
Mailing Address - Phone:720-535-5671
Mailing Address - Fax:303-362-8986
Practice Address - Street 1:274 UNION BLVD STE 220
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-1835
Practice Address - Country:US
Practice Address - Phone:720-535-5671
Practice Address - Fax:303-362-8986
Is Sole Proprietor?:No
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist