MEDICARE: JEFFREY ROGER TURRE LAC.

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	0002448	CO

General Provider Information

NPI Number	:	1962975821
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY ROGER TURRE LAC.

Provider Business Mailing Address
First Line	:	355 1/2 SCHOOL RIDGE RD APT B
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81507-2672
Country	:	US
Telephone Number	:	970-783-8201
Fax Number	:

Provider Business Practice Location Address
First Line	:	2497 POWER RD UNIT 1
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81507-3085
Country	:	US
Telephone Number	:	970-783-8201
Fax Number	:

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

Provider Enumeration Date	:	01/03/2019
Last Update Date	:	01/03/2019

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