MEDICARE: MS. LAUREL MARGARET BOUCHIER LAUREL BOUCHIERL.AC.

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	171100000X	Acupuncturist	1508	CO

General Provider Information

NPI Number	:	1548513385
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LAUREL MARGARET BOUCHIER LAUREL BOUCHIERL.AC.

Provider Business Mailing Address
First Line	:	469 HIGH ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80218-4023
Country	:	US
Telephone Number	:	303-321-2741
Fax Number	:

Provider Business Practice Location Address
First Line	:	469 HIGH ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80218-4023
Country	:	US
Telephone Number	:	303-321-2741
Fax Number	:

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

Provider Enumeration Date	:	10/17/2012
Last Update Date	:	10/17/2012

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