Individual
TYSON ADLAI SCHREPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC, CBP
Contact information
Practice address
390 UNION BLVD, LAKEWOOD, CO 80228-1510
(303) 807-1377
Mailing address
12583 W 2ND DR, LAKEWOOD, CO 80228-5014
(303) 807-1377
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1783
CO
Other
Enumeration date
06/22/2012
Last updated
06/22/2012
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