Individual
MIRANDA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC, CBP, LMT
Contact information
Practice address
7373 W JEFFERSON AVE STE 402, LAKEWOOD, CO 80235-2051
(720) 310-8525
Mailing address
2773 S OSCEOLA WAY, DENVER, CO 80236-2247
(720) 310-8525
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
2224
CO
225700000X
Massage Therapist
4441
CO
Other
Enumeration date
05/05/2018
Last updated
01/13/2021
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