Organization
KI ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANG MI LEE ACUPUNCTURIST (OWNER)
(303) 814-1774
Entity
Organization
Contact information
Practice address
729 BARRANCA DR UNIT 100, CASTLE ROCK, CO 80104-7418
(303) 814-1774
Mailing address
729 BARRANCA DR UNIT 100, CASTLE ROCK, CO 80104-7418
(303) 814-1774
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1132
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1132
STATE OF COLORADO
CO
01
—
1629268446
NPI
CO
Enumeration date
07/16/2012
Last updated
07/16/2012
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