# LIFECYCLE ACUPUNCTURE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710317227
- **Authorized official:** MELISSA DONNA EATON LA.C (OWNER ACUPUNCTURIST)
- **Authorized official phone:** (303) 656-0048

## Contact information

- **Practice address:** 925 37TH ST, BOULDER, CO 80303-2141
- **Practice address phone:** (303) 656-0048
- **Mailing address:** 925 37TH ST, BOULDER, CO 80303-2141
- **Mailing address phone:** (303) 656-0048

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 1761 | CO | Yes |

## Other

- **Enumeration date:** 11/19/2013
- **Last updated:** 11/19/2013
