Most Relevant Information
Provider Data
NPI Number: | 1003417403 |
Provider Name: | LAUREN JORDAN L.AC. |
Entity Type: | Individual |
Taxonomy Code: | 171100000X |
Specialty: | Acupuncturist |
License Number: | ACU0002495 |
Most Important Dates
Enumeration Date: | 11/03/2020 |
Last Updated: | 02/17/2022 |
Provider Practice Location
284 E 29TH ST
LOVELAND
CO
805382733
Practice Location Phone/Fax
Phone: | 9286148606 |
Fax: |
Provider Mailing Location
2098 CHEYENNE AVE
LOVELAND
CO
805384315
Provider Mailing Phone/Fax
Phone: | 9286148606 |
Fax: |