Provider Demographics
NPI:1467807529
Name:ENGLERT, LINDSY JENNIFER (DO)
Entity type:Individual
Prefix:MS
First Name:LINDSY
Middle Name:JENNIFER
Last Name:ENGLERT
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:
Other - Last Name:BRICKELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 35380
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89133-5380
Mailing Address - Country:US
Mailing Address - Phone:719-463-5600
Mailing Address - Fax:
Practice Address - Street 1:6071 E WOODMEN RD STE 105
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80923-2610
Practice Address - Country:US
Practice Address - Phone:925-997-1572
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-26
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0062483208000000X
CO0062483208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
COO934965Medicaid