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LAURA ANN DELOATCH L. AC
>> Acupuncturist >> Other Service ProvidersRegistrant NPI Number: 1245556703
Individual Registrant: LAURA ANN DELOATCH L. AC
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
130 W SACKETT AVE UNIT D SALIDA, CO 81201-2008 US
Tel: 719-530-3131 Fax: --
Tel: 719-530-3131 Fax: --
Contact information for business:
809 W 1ST ST SALIDA, CO 81201-1611 US
Tel: (30-3) -229-5261 Fax: --
Tel: (30-3) -229-5261 Fax: --
Registration Information:
NPI: 1245556703
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 171100000X | Other Service Providers Acupuncturist | CO | 1500 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
