Basic Information
| Provider Information | |||||||||
| NPI: | 1770788085 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FORLENZA | ||||||||
| FirstName: | GREGORY | ||||||||
| MiddleName: | PETER | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1775 AURORA CT | ||||||||
| Address2: | MS #A140 | ||||||||
| City: | AURORA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800452536 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3037242323 | ||||||||
| FaxNumber: | 3037246779 | ||||||||
| Practice Location | |||||||||
| Address1: | 1775 AURORA CT | ||||||||
| Address2: | MS #A140 | ||||||||
| City: | AURORA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800452536 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3037242323 | ||||||||
| FaxNumber: | 3037246779 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/18/2007 | ||||||||
| LastUpdateDate: | 06/10/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2080P0205X | 56157 | MN | N | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Endocrinology | 2080P0205X | 67566 | GA | N | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Endocrinology | 2080P0205X | ME 109590 | FL | N | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Endocrinology | 2080P0205X | 48738 | CO | Y | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Endocrinology |
No ID Information.