Individual
JENNIFER LEI BAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
2114 N LINCOLN AVE, SUITE 104, LOVELAND, CO 80538-3859
(970) 599-1027
Mailing address
804 TYLER ST, FORT COLLINS, CO 80521-3126
(970) 599-1027
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1619
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126085
NCCAOM
—
01
—
1619
DORA
CO
Enumeration date
11/15/2010
Last updated
11/07/2011
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