Organization
BLOOMING ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORA TERRES LAC DIPL.AC. (ACUPUNCTURIST)
(303) 956-0490
Entity
Organization
Contact information
Practice address
1800 30TH ST # 220H, BOULDER, CO 80301-1088
(303) 449-9088
Mailing address
4777 MCKINLEY DR, BOULDER, CO 80303-1142
(303) 956-0490
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
173
CO
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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