MEDICARE: VIRGINIA DAWN ALBIN ACUPUNCTURIST, LPN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	PN-46625	CO
2	171100000X	Acupuncturist	ACU-1423	CO
3	174400000X	Specialist	COZ-49359	CO

General Provider Information

NPI Number	:	1336470954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIRGINIA DAWN ALBIN ACUPUNCTURIST, LPN

Provider Business Mailing Address
First Line	:	2222 S ALBION ST STE 310
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-4928
Country	:	US
Telephone Number	:	720-329-7216
Fax Number	:	720-536-0994

Provider Business Practice Location Address
First Line	:	2222 S ALBION ST STE 310
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-4928
Country	:	US
Telephone Number	:	720-329-7216
Fax Number	:	720-536-0994

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/21/2010
Last Update Date	:	03/22/2013

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